OrganizationActive
Southeastern Wound Care Services, Inc
NPI 1710175500 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Conyers, GA
Provider details
- NPI number
- 1710175500
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sid Shah, President(404) 444-1293
- License
- 59757 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1412 Milstead Ave Ne
Rockdale Medical Center
Conyers, GA 30012-3877
Phone: (678) 413-7738
Fax: (678) 413-7739
Approximate (ZIP-level) locationGet directions
Mailing address
1805 Galilee Ct
Tucker, GA 30084-7405
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2009-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.