MEDICARE: SURGICAL WOUND CARE ASSOCIATES PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1861141863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL WOUND CARE ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	1415 OLD WEISGARBER RD STE 350
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-1381
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6565 E CARONDELET DR STE 335
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-3522
Country	:	US
Telephone Number	:	520-497-5080
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	CINDY DAY
Credential	:
Telephone Number	:	423-215-4672

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	12/17/2025

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