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Contact Information

SOUTHEASTERN WOUND CARE SERVICES, INC
1412 MILSTEAD AVE NE
ROCKDALE MEDICAL CENTER
CONYERS, GA30012-3877
 Phone: 678-413-7738
 Fax: 678-413-7739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN WOUND CARE SERVICES, INC

NPI Number 1710175500
LBN Legal business name SOUTHEASTERN WOUND CARE SERVICES, INC
Authorized official SID SHAH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2007
Last updated 09/18/2009 - About 17 years ago
Identifiers
GA License # 59757
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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