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Contact Information

WOUND CARE MEDICAL MISSISSIPPI LLC
ATTN: WOUND CARE MEDICAL MISSISSIPPI LLC
109 EXECUTIVE DRIVE, SUITE 3
MADISON, MS39110
 Phone: 737-703-8191
 Fax: 512-243-6916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WOUND CARE MEDICAL MISSISSIPPI LLC · (Female)

NPI # 1629870035
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2025
Last updated 04/18/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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