| Organization Name: | DIABETIC AND WOUND CARE MANAGEMENT SERVICES LLC |
| NPI Number: | 1669785010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL T BICE (PRESIDENT) |
| Mailing Address: | 34011 Us Highway 280 Childersburg |
| State: | AL US |
| Postal Code: | 350442128 |
| Phone Number: | 2563783313 |
| Fax Number: | 2563783315 |
| NPI Enumeration Date: | 07/14/2010 |
| NPI Last Update Date: | 03/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |