Provider Demographics
NPI:1356685416
Name:ADVANCED WOUND CARE AND LIMB PRESERVATION, LLC
Entity Type:Organization
Organization Name:ADVANCED WOUND CARE AND LIMB PRESERVATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:HIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-454-7802
Mailing Address - Street 1:3715 DAUPHIN ST STE 600
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1774
Mailing Address - Country:US
Mailing Address - Phone:251-454-7802
Mailing Address - Fax:251-460-5457
Practice Address - Street 1:3715 DAUPHIN ST STE 503B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1773
Practice Address - Country:US
Practice Address - Phone:251-340-6933
Practice Address - Fax:251-460-5457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7522208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty