| Wound100 Tennessee | |
|
611 Commerce St Ste 2611 Nashville TN 37203-3787 | |
| (402) 651-6040 | |
| Not Available |
| Full Name | Wound100 Tennessee |
|---|---|
| Speciality | Clinic/center |
| Location | 611 Commerce St Ste 2611, Nashville, Tennessee |
| Authorized Official Name and Position | Frank R Emsick (CHIEF TRANSFORMATION OFFICER) |
| Authorized Official Contact | 4026516040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound100 Tennessee 19681 Chicago St Apt A Elkhorn NE 68022-6525 | Wound100 Tennessee 611 Commerce St Ste 2611 Nashville TN 37203-3787 Ph: (402) 651-6040 |
| NPI Number | 1750258075 |
|---|---|
| Provider Enumeration Date | 10/21/2025 |
| Last Update Date | 10/21/2025 |
| Certification Date | 10/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750258075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (NU) | Secondary |
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