Organization
ORTHOPAEDIC SPECIALISTS OF THE CAROLINAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA A HAYES (BUSINESS OFFICE MANAGER)
(336) 659-4111
Entity
Organization
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
(336) 765-6375
Mailing address
PO BOX 25626, WINSTON SALEM, NC 27114-5626
(336) 768-1270
(336) 765-6375
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110Q
BCBS GROUP NUMBER
NC
01
—
27080
BLUE MEDICARE NUMBER
NC
05
—
890110Q
—
NC
01
—
CD6584
RR MEDICARE GROUP #
NC
01
—
CN4910
RR MEDICARE GROUP #
NC
Enumeration date
05/17/2006
Last updated
04/08/2011
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