| National Telewound Care | |
|
374 Osprey Pt Stone Mountain GA 30087-6163 | |
| (678) 404-5631 | |
| (877) 210-5143 |
| Full Name | National Telewound Care |
|---|---|
| Speciality | Family Medicine |
| Location | 374 Osprey Pt, Stone Mountain, Georgia |
| Authorized Official Name and Position | Diane Alexander (SECRETARY) |
| Authorized Official Contact | 6783712204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Telewound Care 374 Osprey Pt Stone Mountain GA 30087-6163 Ph: (678) 404-5631 | National Telewound Care 374 Osprey Pt Stone Mountain GA 30087-6163 Ph: (678) 404-5631 |
| NPI Number | 1942552146 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942552146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 033908 (Georgia) | Primary |
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