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Organization

ORTHOCAROLINA, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization

Contact information

Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 150, MATTHEWS, NC 28105-2387
(704) 323-2000
Mailing address
PO BOX 602179, CHARLOTTE, NC 28260-2179
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XP3100X
Pediatric Orthopaedic Surgery Physician
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
363A00000X
Physician Assistant

Other

Enumeration date
07/18/2006
Last updated
05/11/2010
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