Genesis Wound Care of Pooler, LLC

NPI #1467815472 in Pooler, Georgia

Provider Information

NPI Number
1467815472
Entity Type
Organization
Organization Name
Genesis Wound Care of Pooler, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GENESIS WOUNDCARE
Primary Specialty
Preventive Medicine - Undersea and Hyperbaric Medicine
Enumeration Date
Mar 29, 2016
Last Updated
Mar 29, 2016

Practice Location

Address
1000 TOWNE CENTER BLVD
Address 2
BUILDING 400
City
Pooler
State
Georgia
ZIP Code
31322-4052
Phone
(912) 662-0223

Authorized Official

Name
JAMES THOMAS O'DARE III
Title
PRINICIPAL
Phone
(856) 335-5025

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & SuppliesOxygen Equipment & Supplies
Preventive Medicine - Undersea and Hyperbaric MedicineUndersea and Hyperbaric Medicine

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