Organization
ORTHOCAROLINA
Active
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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