| Precision Wound Care PC | |
|
100 Hadden Hall Dr Macon GA 31210-6102 | |
| (478) 703-6215 | |
| Not Available |
| Full Name | Precision Wound Care PC |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Hadden Hall Dr, Macon, Georgia |
| Authorized Official Name and Position | Derrick Lane (OWNER) |
| Authorized Official Contact | 6154805263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Wound Care PC 100 Hadden Hall Dr Macon GA 31210-6102 Ph: (615) 480-5263 | Precision Wound Care PC 100 Hadden Hall Dr Macon GA 31210-6102 Ph: (478) 703-6215 |
| NPI Number | 1093514044 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Medicare PECOS PAC ID | 9638653801 |
|---|---|
| Medicare Enrollment ID | O20260325002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093514044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Derrick F Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124079447 PECOS PAC ID: 3577502186 Enrollment ID: I20050503000132 |
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