| Healsafe Wound Clinic | |
|
1770 Highway 33 Fayette MS 39069 | |
| (601) 431-6040 | |
| Not Available |
| Full Name | Healsafe Wound Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1770 Highway 33, Fayette, Mississippi |
| Authorized Official Name and Position | Frances Perryman (OWNER) |
| Authorized Official Contact | 6014316040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healsafe Wound Clinic 1770 Highway 33 Fayette MS 39069 Ph: (601) 431-6040 | Healsafe Wound Clinic 1770 Highway 33 Fayette MS 39069 Ph: (601) 431-6040 |
| NPI Number | 1750063848 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 0042668659 |
|---|---|
| Medicare Enrollment ID | O20231120003664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750063848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Moses Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124184031 PECOS PAC ID: 3870725203 Enrollment ID: I20140416002193 |
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