| Proheal Wound Solutions LLC | |
|
2809 Denny Ave Pascagoula MS 39581-5301 | |
| (919) 446-4176 | |
| Not Available |
| Full Name | Proheal Wound Solutions LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2809 Denny Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | Joel Watts (OWNER) |
| Authorized Official Contact | 9194464176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proheal Wound Solutions LLC 2809 Denny Ave Pascagoula MS 39581-5301 | Proheal Wound Solutions LLC 2809 Denny Ave Pascagoula MS 39581-5301 Ph: (919) 446-4176 |
| NPI Number | 1346032232 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Medicare PECOS PAC ID | 3274045471 |
|---|---|
| Medicare Enrollment ID | O20250624001680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346032232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Joel Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639359268 PECOS PAC ID: 3476627738 Enrollment ID: I20080805000061 |
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