Provider Demographics
NPI:1730947060
Name:GEORGIA WOUNDCARE LLC
Entity type:Organization
Organization Name:GEORGIA WOUNDCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-820-1826
Mailing Address - Street 1:1350 SCENIC HWY N STE 266
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7924
Mailing Address - Country:US
Mailing Address - Phone:470-436-8248
Mailing Address - Fax:470-729-7562
Practice Address - Street 1:1350 SCENIC HWY N STE 266
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7924
Practice Address - Country:US
Practice Address - Phone:470-436-8248
Practice Address - Fax:470-729-7562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty