Provider Demographics
NPI:1972150084
Name:WOUND MANAGEMENT SPECIALISTS, LLC
Entity type:Organization
Organization Name:WOUND MANAGEMENT SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF HUMAN RESOURCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-208-4437
Mailing Address - Street 1:778 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9321
Mailing Address - Country:US
Mailing Address - Phone:769-243-6141
Mailing Address - Fax:601-510-1665
Practice Address - Street 1:120 STONE CREEK BLVD STE 300
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8211
Practice Address - Country:US
Practice Address - Phone:769-243-6141
Practice Address - Fax:601-510-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No291U00000XLaboratoriesClinical Medical Laboratory