| Advanced Surgical Wound Center Pllc | |
|
6216 Highland Place Way Ste 102 Knoxville TN 37919-4068 | |
| (865) 549-5151 | |
| (865) 549-5151 |
| Full Name | Advanced Surgical Wound Center Pllc |
|---|---|
| Speciality | General Practice |
| Location | 6216 Highland Place Way Ste 102, Knoxville, Tennessee |
| Authorized Official Name and Position | Lowell L Mccauley (OWNER) |
| Authorized Official Contact | 8655495151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Surgical Wound Center Pllc 3511 Riveredge Cir Knoxville TN 37920-2890 Ph: (865) 549-5151 | Advanced Surgical Wound Center Pllc 6216 Highland Place Way Ste 102 Knoxville TN 37919-4068 Ph: (865) 549-5151 |
| NPI Number | 1225800410 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225800410 | NPI | - | NPPES |
| 1003850280 | Other | TN | INDIVIDUAL NNPI |
| 3731558 | Medicaid | TN | |
| 1891926440 | Other | TN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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