Organization · Type 2 NPI

Wiregrass Wound & Amputation Prevention Center, LLC

Surgery Physician · Blakely, GA

NPI number 1790693455 Active

Practice location

11740 Columbia St Ste 1
Blakely, GA 39823-2574

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

Another provider at this address

About NPI 1790693455

Wiregrass Wound & Amputation Prevention Center, LLC's National Provider Identifier is 1790693455, issued on Sep 1, 2026. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Blakely, GA. The record was last updated on Sep 1, 2026.