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INTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA PLLC NPI 1558666776


NPI Information

NPI: 1558666776
Provider Name: INTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA, PLLC
Classification: Preventive Medicine - 2083P0011X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

Address:
35 MEMORIAL DR
PINEHURST, NC
ZIP 28374
Phone: (910) 715-5901
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INTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA, PLLC is an undersea and hyperbaric medicine preventive medicine in Pinehurst, NC. The provider is 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. INTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA, PLLC NPI is 1558666776. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35 MEMORIAL DR
PINEHURST, NC
ZIP 28374-708
Phone: (910) 715-5901
Fax: (910) 715-5902

The provider's authorized official is Frank William .
The authorized official title is Ceo and has the following contact phone number (904) 446-3519.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 6/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207Y00000XOtolaryngologyNo
5208600000XSurgeryNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo
82083P0011XPreventive MedicineUndersea and Hyperbaric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558666776MEDICAIDNORTH CAROLINA
2170195OTHERNORTH CAROLINANC MEDICAL BOARD CERTIFICATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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