Provider Demographics
NPI:1427710672
Name:WOUND SOLUTIONS OF TENNESSEE LLC
Entity type:Organization
Organization Name:WOUND SOLUTIONS OF TENNESSEE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:JOSSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-760-8195
Mailing Address - Street 1:3279 SW 24TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3137
Mailing Address - Country:US
Mailing Address - Phone:305-904-5635
Mailing Address - Fax:800-939-2314
Practice Address - Street 1:6231 PERIMETER DR STE 113
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3658
Practice Address - Country:US
Practice Address - Phone:423-475-5088
Practice Address - Fax:800-939-2314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty