Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI Number | 1265267884 |
| LBN Legal business name | ADVANCED WOUND CARE SPECIALIST LLC |
| Authorized official | GRANT CLUXTON - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/04/2024 |
| Last updated | 12/07/2024 - More than a year ago |
| Identifiers | n/a |
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ADVANCED WOUND CARE SPECIALIST LLC
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