Wound Care Clinic-tn, Inc.

NPI 1629044110 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1629044110
Enumeration Date 02/24/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUSAN G SUSAN
Position OWNER
Phone (870) 236-2600
Fax (870) 236-3314
Practice Location
1910 MOCKINGBIRD LN
PARAGOULD AR, 72450-5806, US
Phone (870) 236-2600
Fax (870) 236-3314
Business Location
1910 MOCKINGBIRD LN
PARAGOULD AR, 72450-5806, US
Phone (870) 236-2600
Fax (870) 236-3314
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
Remove 1629044110 NPI Number
 

According to our database, Wound Care Clinic-tn, Inc. NPI is 1629044110, taxonomy code is 363L00000X Wound Care Clinic-tn, Inc. physically located at 1910 Mockingbird Ln, Paragould AR, 72450-5806. NPI Number 1033115704 has the healthcare provider type.

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1629044110 NPI number is provided on an as is basis without warranty of any kind. 1629044110 is maintained by the National Plan & Provider Enumeration System. The contents of Wound Care Clinic-tn, Inc. are for informational purposes only.