SOUTHEASTERN WOUND CARE SERVICES, INC
NPI 1710175500
Emergency Medicine - Undersea and Hyperbaric Medicine in Conyers, GA

Q: What is the provider's specialty?

The provider's specialty is Emergency Medicine with taxonomy code 207PE0005X and a focus in Undersea and Hyperbaric Medicine.

Active since October 05, 2007

1412 MILSTEAD AVE NE, ROCKDALE MEDICAL CENTER, CONYERS, GA 30012(678) 413-7738(678) 413-7739 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Southeastern Wound Care Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN WOUND CARE SERVICES, INC (NPI 1710175500) is a healthcare organization registered as an undersea and hyperbaric medicine in Conyers, Georgia and active in the NPI registry since October 2007. The organization lists Sid M Shah, President, as its authorized official.

NPPES Registry Identity

NPI1710175500

Entity TypeOrganization

Primary Taxonomy207PE0005X

Legal Business NameSOUTHEASTERN WOUND CARE SERVICES, INC

Location Address1412 MILSTEAD AVE NE, ROCKDALE MEDICAL CENTERConyers, GA 30012-3877

Mailing Address1805 Galilee CtTucker, GA 30084-7405 · (404) 444-1293 · Fax (404) 601-6880

Phone(678) 413-7738

Fax(678) 413-7739

Organization SubpartNo

Authorized OfficialSid M ShahPresident · (404) 444-1293

Enumeration DateOctober 5, 2007

Last NPPES UpdateSeptember 18, 2009

✔ NPI 1710175500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PE0005X

License✔ Licensed in GA · 59757

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

1412 MILSTEAD AVE NE, Conyers, GA 30012

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP