Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X |
| NPI # | 1881072072 |
||||
| LBN Legal business name | NELSMITH WOUND CARE GROUP | ||||
| Authorized official | JENNIFER NELSON SMITH - (SOLE PROPRIETOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/08/2015 | ||||
| Last updated | 05/08/2015 - About 11 years ago | ||||
| Identifiers |
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