Organization Name: | NORTH GA INSTITUTE FOR WOUND CARE, LLC |
NPI Number: | 1760563159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REENA A YONKOSKY (OWNER) |
Mailing Address: | 110 Samaritan Dr. Suite 101 Cumming |
State: | GA US |
Postal Code: | 30040 |
Phone Number: | 6789655860 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 08/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0289298 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |