PENTUS HEALTH WOUNDCARE OF GEORGIA; NPI #1336014687

Contact Information

PENTUS HEALTH WOUNDCARE OF GEORGIA

11680 GREAT OAKS WAY STE 100
ALPHARETTA, GA 30022-2458

Phone: 855-539-6863
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for PENTUS HEALTH WOUNDCARE OF GEORGIA

NPI #	`1336014687`
LBN Legal business name	PENTUS HEALTH WOUNDCARE OF GEORGIA
Authorized official	DERRICK LANE - (MANGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/07/2025
Last updated	10/07/2025 - 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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