Healthcare Provider Details

I. General information

NPI: 1851694160
Provider Name (Legal Business Name): WOUND CARE NC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7930 SKYLAND RIDGE PKWY STE 203
RALEIGH NC
27617-6813
US

IV. Provider business mailing address

7930 SKYLAND RIDGE PKWY STE 203
RALEIGH NC
27617-6813
US

V. Phone/Fax

Practice location:
  • Phone: 919-881-8295
  • Fax: 833-471-6191
Mailing address:
  • Phone: 919-881-8295
  • Fax: 833-471-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number0090-01632
License Number StateNC

VIII. Authorized Official

Name: HARRY DAVID KURTZ
Title or Position: OWNER
Credential: PA
Phone: 919-881-8295