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NPI 1750063848

NPI 1750063848 : HEALSAFE WOUND CLINIC : JACKSON, MS

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General NPI Number Information
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    NPI Number           |    1750063848
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALSAFE WOUND CLINIC 
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Dates
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    Enumeration Date     |    08/07/2023
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    Last Update Date     |    02/16/2026
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Provider Practice Location Address
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    Address Line         |    1815 HOSPITAL DR STE 303 
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    City                 |    JACKSON
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    State                |    MS
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    Zip                  |    39204-3425
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    Country              |    US
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    Telephone            |    601-890-8086
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 523 
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    City                 |    NATCHEZ
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    State                |    MS
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    Zip                  |    39121-0523
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    Country              |    US
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    Telephone            |    769-304-1110
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. FRANCES  PERRYMAN 
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    Credential           |    
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    Telephone            |    601-890-8086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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