Healthcare Provider Details

I. General information

NPI: 1750291761
Provider Name (Legal Business Name): ROSE WOUND GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6286 BRIARCREST AVE
MEMPHIS TN
38120-4023
US

IV. Provider business mailing address

8734 DUMFRIES CV
GERMANTOWN TN
38139-5312
US

V. Phone/Fax

Practice location:
  • Phone: 731-571-2441
  • Fax:
Mailing address:
  • Phone: 731-571-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRANDY ROSE
Title or Position: BUSINESS OPERATIONS MANAGER
Credential: PT, DPT, CWS
Phone: 731-571-2441