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General NPI Number Information
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NPI Number | 1093602153
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Entity Type | Organization
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Legal Business Name | OGEECHEE WOUND HEALING, INC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 1497 FAIR RD. DEPARTMENT OF WOUND CARE AND HYPERBARIC MEDICINE
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City | STATESBORO
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State | GA
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Zip | 30458
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Country | US
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Telephone | 912-296-8633
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 164
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City | BROOKLET
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State | GA
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Zip | 30415
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Country | US
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Telephone | 912-296-8633
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Fax | 912-286-1165
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. STEPHEN MARTIN
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Credential | DO
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Telephone | 912-296-8633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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