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General NPI Number Information
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NPI Number | 1225800410
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Entity Type | Organization
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Legal Business Name | ADVANCED SURGICAL WOUND CENTER PLLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 6216 HIGHLAND PLACE WAY STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37919-4068
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Country | US
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Telephone | 865-470-6121
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Fax | 423-500-3029
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Provider Business Mailing Address
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Address Line | 3511 RIVEREDGE CIR
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City | KNOXVILLE
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State | TN
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Zip | 37920-2890
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Country | US
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Telephone | 865-470-6121
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Fax | 423-500-3029
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Authorized Official
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Title or Position | OWNER
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Name | LOWELL L MCCAULEY JR.
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Credential | M.D.
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Telephone | 865-549-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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