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Organization

CAROLINA REGIONAL ORTHOPAEDICS, PA

Active
Other names
Carolina Regional Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALLISON BRAKE (OFFICE SUPERVISOR)
(252) 823-7212
Entity
Organization

Contact information

Practice address
2906 N MAIN ST, TARBORO, NC 27886-1921
(252) 823-7212
(252) 823-5668
Mailing address
2906 N MAIN ST, TARBORO, NC 27886-1921
(252) 823-7212
(252) 823-5668

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
208VP0014X
Interventional Pain Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0174K
BCBS
05
890174K
NC
01
CK0207
RAILROAD MEDICARE
Enumeration date
06/06/2006
Last updated
05/02/2022
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