| NPI | 1720118680 |
|---|---|
| Doing Business As | SHENANDOAH MEMORIAL WOUND CLINIC |
| Entity Type | Organization |
| Authorized Contact | RENEE NEVADA JOHNSON Credentialing Coordinator 540-536-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-07-12 |