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Organization

ORTHOCAROLINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2222
Entity
Organization

Contact information

Practice address
150 FAIRVIEW RD STE 230, MOORESVILLE, NC 28117-9508
(704) 323-2921
(704) 323-3994
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 945-7681

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8901619
NC
Enumeration date
12/14/2015
Last updated
10/21/2025
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