Organization
ORTHOCAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization
Contact information
Practice address
8840 BLAKENEY PROFESSIONAL DR, SUITE 102, CHARLOTTE, NC 28277-6718
(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
38865
NC
225100000X
Physical Therapist
38865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
Enumeration date
05/25/2012
Last updated
02/26/2015
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