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General NPI Number Information
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NPI Number | 1225714496
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Entity Type | Organization
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Legal Business Name | MIDDLE GEORGIA WOUND SOLUTIONS LLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 100 CATTLEMENS DR
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City | MACON
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State | GA
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Zip | 31220-8300
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Country | US
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Telephone | 850-544-5299
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Fax | 888-571-3298
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Provider Business Mailing Address
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Address Line | 100 CATTLEMENS DR
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City | MACON
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State | GA
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Zip | 31220-8300
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Country | US
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Telephone | 850-544-5299
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Fax | 888-571-3298
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. COURTNEY LANE KINSEY
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Credential | FNP-C
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Telephone | 850-544-5299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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