Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Anesthetist, Certified Registered |
367500000X | 43 | Certified Registered Nurse Anesthetist (CRNA) | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1528877453 |
| LBN Legal business name | SUPERIOR WOUND CARE LLC |
| Authorized official | PAMELA MCDOWELL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/06/2025 |
| Last updated | 03/29/2025 - More than a year ago |
| Identifiers | n/a |
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