Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI Number | 1356036354 |
| LBN Legal business name | ADVANCED WOUND CARE, LLC |
| Authorized official | TIMOTHY WATSON - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/06/2023 |
| Last updated | 06/19/2024 - More than a year ago |
| Identifiers | n/a |
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