Provider Demographics
NPI:1407724164
Name:INSIDEOUT ADVANCED WOUND CARE
Entity type:Organization
Organization Name:INSIDEOUT ADVANCED WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:404-680-2653
Mailing Address - Street 1:3300 ROSWELL RD NW UNIT 4822
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3937
Mailing Address - Country:US
Mailing Address - Phone:404-680-2653
Mailing Address - Fax:
Practice Address - Street 1:3300 ROSWELL RD NW UNIT 4822
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3937
Practice Address - Country:US
Practice Address - Phone:404-680-2653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty