Healthcare Provider Details

I. General information

NPI: 1174428262
Provider Name (Legal Business Name): WOUND HEALERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8317 OFFICE PARK DR
DOUGLASVILLE GA
30134-6936
US

IV. Provider business mailing address

8317 OFFICE PARK DR
DOUGLASVILLE GA
30134-6936
US

V. Phone/Fax

Practice location:
  • Phone: 770-293-8551
  • Fax:
Mailing address:
  • Phone: 770-293-8551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: REGGIE MORRISON
Title or Position: OWNER
Credential:
Phone: 678-602-6113