| Wound Care Solutions Of Tennessee, Llc | |
|
611 S Washington St Maryville TN 37804-5805 | |
| (770) 714-9292 | |
| Not Available |
| Full Name | Wound Care Solutions Of Tennessee, Llc |
|---|---|
| Speciality | General Practice |
| Location | 611 S Washington St, Maryville, Tennessee |
| Authorized Official Name and Position | Daniel H James (CO-OWNER) |
| Authorized Official Contact | 7707149292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Solutions Of Tennessee, Llc 611 S Washington St Maryville TN 37804-5805 Ph: (770) 714-9292 | Wound Care Solutions Of Tennessee, Llc 611 S Washington St Maryville TN 37804-5805 Ph: (770) 714-9292 |
| NPI Number | 1033968433 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 8224577671 |
|---|---|
| Medicare Enrollment ID | O20240829000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033968433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Donna K Brantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275926255 PECOS PAC ID: 3476865924 Enrollment ID: I20150713000072 |
| Provider Name | Melissa C Ambler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386033652 PECOS PAC ID: 8123346715 Enrollment ID: I20240416003741 |
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