Wound Care Clinic Esu, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3118839999 Issued in GA

Legal business name

WOUND CARE CLINIC ESU, INC

Practice address

1000 Towne Center Blvd
Suite 705
Pooler, GA 31322-4052

Phone

(912) 998-0040

Fax

(912) 998-0041

NPI assigned

Jan 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Paula Kreissler

Title

President

Phone

(912) 998-0040

Specialties & licenses 1

Addresses

Tax ID family

Wound Care Clinic - Esu2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wound Care Clinic - Esu, Inc.

  • Clinic/Center
  • Pooler, GA
  • NPI 1154319408
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1336479849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD",
            "address_2": "SUITE 705",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "telephone_number": "912-998-0040",
            "fax_number": "912-998-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD",
            "address_2": "SUITE 705",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "telephone_number": "912-998-0040",
            "fax_number": "912-998-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE CLINIC ESU, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "KREISSLER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-998-0040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "3118839999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Gary Woodcock Jr., COTA/L
• Madeleine Durant Woodroof, FNP-C
• Angela C Wooley, MSN, FNP-BC
• Dustin Lee Workinger, PT/DPT
• Wound Care Clinic - Esu, Inc.
• Emani Aza Wright
• Erwin Wright, RBT
• Hannah Leigh Wright
• Kathenia B Wright, LCSW
• Garnell Wrighten

• Medical Specialty Clinic/Center in Pooler, GA
• Providers in Pooler, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.