Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI Number | 1730928235 |
| LBN Legal business name | REGENERATIVE WOUND SOLUTIONS PC |
| Authorized official | CARROLL ODEM - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/23/2024 |
| Last updated | 05/23/2024 - About 2 years ago |
| Identifiers | n/a |
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