Organization
ORTHOCAROLINA, PA
Active
Organization
ORTHOCAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization
Contact information
Practice address
1914 W PARK DR, NORTH WILKESBORO, NC 28659-3563
(704) 323-2000
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
28865
NC
363A00000X
Physician Assistant
28865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
Enumeration date
07/29/2013
Last updated
07/29/2013
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