# NATIONAL TELEWOUND CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NATIONAL TELEWOUND CARE
- **Other names:** North Carolina Telewound Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982941936
- **Legal business name:** NATIONAL TELEWOUND CARE
- **Authorized official:** DIANE ALEXANDER (CFO)
- **Authorized official phone:** (678) 371-2204

## Contact information

- **Practice address:** 2015 GUM BRANCH RD, 624, JACKSONVILLE, NC 28540-4583
- **Practice address phone:** (678) 371-2204
- **Practice address fax:** (877) 210-5143
- **Mailing address:** 374 OSPREY PT, STONE MOUNTAIN, GA 30087-6163
- **Mailing address phone:** (678) 371-2204
- **Mailing address fax:** (877) 210-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2013
- **Last updated:** 01/10/2013