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General NPI Number Information
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NPI Number | 1770384919
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Entity Type | Organization
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Legal Business Name | GEORGIA WOUND CARE EXPERTS INC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL STE R
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 404-919-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL # 6519
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 404-919-8070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VAHEH SHIRVANIAN
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Credential | MD
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Telephone | 818-568-8980
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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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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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