Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Wound Care Services, Inc

Organization Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · NPI 1710175500

Southeastern Wound Care Services, Inc is an Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1412 Milstead Ave NE Rockdale Medical Ctr
Conyers, GA 30012-3877
Phone: (678) 413-7738
Fax: (678) 413-7739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PE0005X · Licence 59757 (GA)

Record details

NPI number1710175500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sid Shah — President · (404) 444-1293
NPI enumeratedOctober 5, 2007
Last updated in NPPESSeptember 18, 2009
Mailing address1805 Galilee Ct, Tucker, GA 30084-7405

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