| Heritage Wound Management Specialists Pllc | |
|
620 Dr Calvin Jones Hwy Ste 208 Wake Forest NC 27587-3108 | |
| (919) 761-5678 | |
| Not Available |
| Full Name | Heritage Wound Management Specialists Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 620 Dr Calvin Jones Hwy Ste 208, Wake Forest, North Carolina |
| Authorized Official Name and Position | Elizabeth Norton (OWNER) |
| Authorized Official Contact | 9198305568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Wound Management Specialists Pllc 620 Dr Calvin Jones Hwy Ste 208 Wake Forest NC 27587-3108 Ph: () - | Heritage Wound Management Specialists Pllc 620 Dr Calvin Jones Hwy Ste 208 Wake Forest NC 27587-3108 Ph: (919) 761-5678 |
| NPI Number | 1144045659 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 01/26/2025 |
| Medicare PECOS PAC ID | 0547784951 |
|---|---|
| Medicare Enrollment ID | O20250407003777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144045659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | George Coupland Isaacs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497857973 PECOS PAC ID: 2365467123 Enrollment ID: I20051011000296 |
| Provider Name | Brandilynn A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417324302 PECOS PAC ID: 8921384140 Enrollment ID: I20170424001133 |
| Provider Name | Adrienne Leigh Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528874005 PECOS PAC ID: 1951828862 Enrollment ID: I20250505002129 |
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