Provider Demographics
NPI:1851694160
Name:ELITE HANDS: WOUND CARE & SURGICAL ASSISTANTS, PLLC
Entity Type:Organization
Organization Name:ELITE HANDS: WOUND CARE & SURGICAL ASSISTANTS, PLLC
Other - Org Name:ELITE HANDS PHYSICIAN ASSISTANT SERVICES, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:919-881-8295
Mailing Address - Street 1:7930 SKYLAND RIDGE PKWY STE 203
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-6813
Mailing Address - Country:US
Mailing Address - Phone:919-881-8295
Mailing Address - Fax:833-471-6191
Practice Address - Street 1:7930 SKYLAND RIDGE PKWY STE 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-6813
Practice Address - Country:US
Practice Address - Phone:919-881-8295
Practice Address - Fax:833-471-6191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-08
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0090-01632363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty