WOUND CARE CLINIC - ESU, INC. (NPI# 1154319408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154319408 |
| Entity Type | Organization |
| Organization Name | WOUND CARE CLINIC - ESU, INC. |
| Practice Address |
1000 Towne Center Blvd Suite 705 Pooler GA 31322-4052 |
| Mailing Address |
Po Box 9910 Savannah GA 31412-0110 |
| Practice Telephone | 9122729494 |
| Practice Fax Number | 9129980041 |
| Mailing Telephone | 9122729494 |
| Mailing Fax Number | 9129980041 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | PAULA KREISSLER (PRESIDENT/CEO) |
| Authorized Official Telephone | 9122729494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 559348415A | 05 |
| Street Address |
1000 TOWNE CENTER BLVD SUITE 705 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241360 | The Whole Tooth | Dentist | 1000 Towne Center Blvd, Suite 505, Pooler, GA 31322-4052 | 2016-08-25 |
| 1467815472 | Genesis Wound Care of Pooler, LLC | Durable Medical Equipment & Medical Supplies | 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052 | 2016-03-29 |
| 1538529631 | Southern Allergy & Asthma, PC | Allergy & Immunology | 1000 Towne Center Blvd, Building 500 Suite 305, Pooler, GA 31322-4052 | 2016-03-02 |
| 1912365495 | Jana Alisa Bevill | Nurse Practitioner | 1000 Towne Center Blvd, Suite 160, Pooler, GA 31322-4052 | 2016-01-29 |
| 1376930339 | Genesis Vascular of Pooler, LLC | Internal Medicine | 1000 Towne Center Blvd, Building 400, Pooler, GA 31322-4052 | 2015-04-16 |
| 1598157364 | Matthew J. Allen, D.d.s., L.L.C. | Dentist | 1000 Towne Center Blvd, Suite 101, Pooler, GA 31322-4052 | 2015-03-03 |
| 1316338494 | Ear, Nose & Throat Associates of Savannah, PC | Otolaryngology | 1000 Towne Center Blvd, Ste 200, Pooler, GA 31322-4052 | 2015-02-11 |
| 1598153900 | Chatham Orthopaedic Associates, Pa | Orthopaedic Surgery | 1000 Towne Center Blvd, Suite 602, Pooler, GA 31322-4052 | 2015-01-07 |
| 1962836106 | Catherine E Hamlin | Dentist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2013-08-23 |
| 1508119207 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 1000 Towne Center Blvd, Pooler, GA 31322-4052 | 2012-10-18 |
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|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1811459258 | Fresh Heads Savannah, LLC | Clinic/Center | 1000 Us Highway 80 W, Pooler, GA 31322-2114 | 2019-04-04 |
| 1053772152 | Applecare/memorial Immediate Care Joint Venture LLC | Clinic/Center | 105 Grand Central Blvd Ste 108, Pooler, GA 31322-4148 | 2016-03-16 |
| 1801257340 | Urgent Medical Management LLC | Clinic/Center | 421 Pooler Pkwy Ste 100, Pooler, GA 31322-5102 | 2016-03-11 |
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| 1134741580 | Knowles Exams & More | Clinic/Center | 123 Glyndale Dr Ste 107, Brunswick, GA 31520-1404 | 2020-05-08 |
| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.