NPI | 1871346940 |
---|---|
Doing Business As | PREMIER WOUND CARE & ID SPECIALIST |
Entity Type | Organization |
Authorized Contact | SUMMER PAIGE SLATER Owner 256-533-4645 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2024-04-09 |
Last Update Date | 2024-07-08 |