Global Wound Care
Organization Active NPI Podiatrist · Royston, GA
NPI 1003956210 · NPPES record last updated Sep 6, 2013
Key facts
- NPI
- 1003956210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- POD000686 (GA)
- Legal business name
- GLOBAL WOUND CARE
- Practice address
- 200 Bond St
Suite 109
Royston, GA 30662-4137 - Phone
- (706) 245-4040
- Fax
- (706) 245-4070
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Sivakumar Jayabalan, PHD. (MBA)
- Title
- Owner / Ceo
- Phone
- (706) 284-5951
Practitioners 2
-
Tom Tien Dang, DPM
-
Elizabeth E Andrews, PT, DPT
National Provider Directory
Locations
200 Bond St
Ste 109
Royston, GA 30662
Phone (706) 245-4040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 028075 | GA | |
| Podiatrist |
213E00000X | POD000686 | GA | Yes |
| Podiatrist |
213E00000X | POD000824 | GA | |
| Podiatrist |
213E00000X | POD001075 | GA |
Addresses
Primary practice location
200 Bond St
Suite 109
Royston, GA 30662-4137
Mailing address
629C Ronald Reagan Dr
Evans, GA 30809-7607
Phone (706) 868-0319
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00521353B | Medicaid | GA |
Other providers in Royston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.