# INTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558666776
- **Authorized official:** FRANK WILLIAM (CEO)
- **Authorized official phone:** (904) 446-3519

## Contact information

- **Practice address:** 35 MEMORIAL DR, PINEHURST, NC 28374-8708
- **Practice address phone:** (910) 715-5901
- **Practice address fax:** (910) 715-5902
- **Mailing address:** 5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
- **Mailing address phone:** (904) 446-3451
- **Mailing address fax:** (904) 446-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 06/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1558666776 | — | NC |
| 01 | — | 170195 | NC MEDICAL BOARD CERTIFICATE | NC |