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Organization
ORTHOPAEDIC SPECIALISTS OF THE CAROLINAS, P.A.
Active
Organization
ORTHOPAEDIC SPECIALISTS OF THE CAROLINAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA G. JACKSON (ADM. ASST.)
(336) 768-1270
Entity
Organization
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
(336) 765-6375
Mailing address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
(336) 765-6375
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
75970
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890110Q
—
NC
Enumeration date
10/16/2007
Last updated
10/16/2007
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