| NPI | 1730756248 |
|---|---|
| Doing Business As | WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | DOUG DUKE President 334-305-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-07 |