Organization
ORTHOCAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT A SHEAR (CFO)
(704) 323-2380
Entity
Organization
Contact information
Practice address
5935 CARNEGIE BLVD STE 200, CHARLOTTE, NC 28209-4645
(704) 323-2000
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
Enumeration date
06/26/2017
Last updated
06/05/2020
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