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11D1097309 CLIA NUMBER - NORTH GEORGIA CENTER FOR HYPERBARIC MEDICINE AND WOUND CARE

Laboratory Demographics

CLIA Number: 11D1097309

Facility Name: NORTH GEORGIA CENTER FOR HYPERBARIC MEDICINE AND WOUND CARE

Facility Address:
1505 NORTHSIDE FORSYTH DRIVE
CUMMING, GA
ZIP 30041
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Facility Phone Number: 770 771-6400

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1447499413

Taxonomy: 2083P0011X - Preventive Medicine
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 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.

CLIA Record

Field Name Field Value
CLIA Number 11D1097309
LAB Type Physician Office
Facility Name NORTH GEORGIA CENTER FOR HYPERBARIC MEDICINE AND WOUND CARE
Street 1505 NORTHSIDE FORSYTH DRIVE
City CUMMING
State GA
ZIP 30041
Phone 770 771-6400
CertificateType 4
CertificateEffectiveDate 3/24/2023
CertificateExpirationDate 3/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024