National Provider Identifier Database

WOUND CARE CLINIC ESU INC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

WOUND CARE CLINIC ESU, INC
1000 TOWNE CENTER BLVD
SUITE 705
POOLER, GA31322-4052
Phone: 912-998-0040
Fax: 912-998-0041
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for WOUND CARE CLINIC ESU, INC

NPI Number 1336479849
Legal business name
LBN
WOUND CARE CLINIC ESU, INC
Authorized official PAULA KREISSLER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/05/2010
Last updated 01/05/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 3118839999

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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