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Contact Information

GA WOUND CARE MEDICAL GROUP
2045 PEACHTREE RD NE STE 410
ATLANTA, GA30309-1408
 Phone: 323-480-4075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GA WOUND CARE MEDICAL GROUP

NPI # 1134846470
LBN Legal business name GA WOUND CARE MEDICAL GROUP
Authorized official OWEN ELLINGTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2022
Last updated 10/27/2022 - About 4 years 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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