Wound Care Clinic - Esu, Inc.

LBN: Wound Care Clinic - Esu, Inc.
Wound Care Clinic - Esu, Inc. is an health care organization with primary practice located at 1000 Towne Center Blvd Suite 705, Pooler GA 31322-4052. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Wound Care Clinic - Esu, Inc. can be contacted via phone (912) 272-9494, or through Kreissler, Paula via phone (912) 272-9494.

Contact Information

Primary practice address
1000 Towne Center Blvd Suite 705 Pooler GA 31322-4052
Phone: (912) 272-9494
Fax: (912) 998-0041
Website:
Map and Directions
Authorized official contact:
Name: Kreissler, Paula
Phone: (912) 272-9494

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1154319408
LBN Legal business name Wound Care Clinic - Esu, Inc.
DBA Doing business as
Authorized official Kreissler, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 16th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154319408 NPPES
Georgia MEDICAID 559348415A

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