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Contact Information

DYNAMIC WOUND CARE OF GEORGIA, LLC
238 STOCKBRIDGE RD STE 104
JONESBORO, GA30236-3629
 Phone: 305-901-5055
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DYNAMIC WOUND CARE OF GEORGIA, LLC

NPI Number 1063385193
LBN Legal business name DYNAMIC WOUND CARE OF GEORGIA, LLC
Authorized official KIRILL FILATOV - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/25/2025
Last updated 09/25/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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