Wiregrass Wound Care Consultants Llc

NPI 1003245838 - Internal Medicine - 207R00000X

NPI Details
NPI 1003245838
Enumeration Date 11/02/2013
Last Updated 12/09/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JEFFREY HERBERT JEFFREY
Position PHYSICIAN
Phone (251) 295-2815
Fax (251) 295-2815
Practice Location
1908 FAIRVIEW AVE
DOTHAN AL, 36301-3008, US
Phone (251) 295-2815
Fax (251) 295-2815
Business Location
725 N HIGHWAY A1A
SUITE C112-113
JUPITER FL, 33477-4571, US
Phone (561) 578-8407
Fax (561) 578-8099
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number 29664
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According to our database, Wiregrass Wound Care Consultants Llc NPI is 1003245838, taxonomy code is 207R00000X and license number is 29664, license state is located at Alabama. Wiregrass Wound Care Consultants Llc physically located at 1908 Fairview Ave, Dothan AL, 36301-3008. NPI Number 1033115704 has the healthcare provider type.

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1003245838 NPI number is provided on an as is basis without warranty of any kind. 1003245838 is maintained by the National Plan & Provider Enumeration System. The contents of Wiregrass Wound Care Consultants Llc are for informational purposes only.