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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
441 MCALISTER RD STE 1100A, LINCOLNTON, NC 28092-4127
(704) 732-4064
(704) 736-0830
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2256
(704) 945-7681

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38865
NC MEDICAL BOARD
NC
Enumeration date
04/18/2019
Last updated
07/26/2023
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