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

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: August 16, 2026.

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
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

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Internal Medicine
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Pathology (Anatomic Pathology & Clinical Pathology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Registered Nurse
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Physician Assistant
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Nurse Practitioner (Family)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Radiology (Diagnostic Radiology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012
Psychiatry & Neurology (Neurology)
1412 MILSTEAD AVE NE
CONYERS, GA 30012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Wound Care Services, Inc's NPI number?

The NPI number for Southeastern Wound Care Services, Inc is 1710175500. It was assigned to this organization in the NPPES registry on October 5, 2007.

Where is Southeastern Wound Care Services, Inc located?

Southeastern Wound Care Services, Inc is located at 1412 Milstead Ave NE Rockdale Medical Center, Conyers, GA 30012. The listed phone number is (678) 413-7738.

What is Southeastern Wound Care Services, Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

When was this NPI record last updated?

The NPPES record for Southeastern Wound Care Services, Inc was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.