Organization
ORTHOCAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization
Contact information
Practice address
601 S SUTTON RD, SUITE 101, FORT MILL, SC 29715
(803) 328-6306
(803) 909-6451
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E08569
—
SC
Enumeration date
08/18/2016
Last updated
08/28/2025
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