Provider Demographics
NPI:1730581190
Name:COMPREHENSIVE WOUND TREATMENT, PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE WOUND TREATMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BECHTOL
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:828-330-2103
Mailing Address - Street 1:1501 TATE BLVD SE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1384
Mailing Address - Country:US
Mailing Address - Phone:828-485-0324
Mailing Address - Fax:
Practice Address - Street 1:2872 S NC 127 HWY
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-9131
Practice Address - Country:US
Practice Address - Phone:828-330-2103
Practice Address - Fax:828-294-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty