Provider Demographics
NPI:1538972153
Name:MOBILE WOUND CARE SERVICES OF ATLANTA INC
Entity type:Organization
Organization Name:MOBILE WOUND CARE SERVICES OF ATLANTA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-585-8644
Mailing Address - Street 1:1201 PEACHTREE ST BLDG 400 STE 100
Mailing Address - Street 2:C/O DEANN BING
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30361-3584
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1370 CENTER DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4132
Practice Address - Country:US
Practice Address - Phone:770-847-6377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center