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Organization
INTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA, PLLC
Active
Organization
INTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK WILLIAM (CEO)
(904) 446-3519
Entity
Organization
Contact information
Practice address
35 MEMORIAL DR, PINEHURST, NC 28374-8708
(910) 715-5901
(910) 715-5902
Mailing address
5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
(904) 446-3451
(904) 446-3032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558666776
—
NC
01
—
170195
NC MEDICAL BOARD CERTIFICATE
NC
Enumeration date
01/19/2011
Last updated
06/01/2023
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