MEDICARE: ST FRANCIS WOUND CARE PHYSICIANS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Y00000X	Otolaryngology Physician
2	2086S0129X	Vascular Surgery Physician
3	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427200351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST FRANCIS WOUND CARE PHYSICIANS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 8845
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31908-8845
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3726 WOODRUFF RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5601
Country	:	US
Telephone Number	:	706-257-7680
Fax Number	:

Authorized Official
Title or Position	:	CFO/SVP
Name	:	GREG S. HEMBREE
Credential	:
Telephone Number	:	706-320-3751

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	04/21/2015

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