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Organization

ORTHOCAROLINA, PA - BUNDLE PAYMENT PROGRAM SECTION 4

Active
Parent organization
ORTHOCAROLINA, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOCAROLINA, PA
Authorized official
BRENT SHEAR (CFO)
(704) 323-2222
Entity
Organization

Contact information

Practice address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2250
(704) 945-7679
Mailing address
PO BOX 602179, CHARLOTTE, NC 28260-2179
(704) 323-2250
(704) 945-7679

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
10/02/2019
Last updated
10/02/2019
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