ATLANTIC COAST MOBILE WOUND CARE; NPI #1215331277

Contact Information

ATLANTIC COAST MOBILE WOUND CARE

204 GRANDVILLE ARCH
SMITHFIELD, VA 23430-6150

Phone: 757-604-1733
Fax: 757-604-1733
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ATLANTIC COAST MOBILE WOUND CARE

NPI Number 1215331277

LBN Legal business name ATLANTIC COAST MOBILE WOUND CARE

Authorized official DAVID MORGAN - (CEO/PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/20/2014

Last updated 10/20/2014 - About 12 years ago

Identifiers

License #

0103001007

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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