Renew Wound Care of Georgia LLC

NPI #1245907971 in Columbus, Georgia

Provider Information

NPI Number: 1245907971
Entity Type: Organization
Organization Name: Renew Wound Care of Georgia LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 30, 2021
Last Updated: Jun 27, 2023

Practice Location

Address: 5131 WARM SPRINGS RD
City: Columbus
State: Georgia
ZIP Code: 31909-4196
Phone: (929) 491-7700

Authorized Official

Name: JOSEPH WIESENFELD
Title: ADMINISTRATOR
Phone: (718) 408-8860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Wound Care — Wound Care	163WW0000X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Internal Medicine	207R00000X	Primary

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