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Organization

CAROLINA ORTHOPEDIC AND SPORTS MEDICINE INC

Active
Parent organization
CAROLINA ORTHOPEDIC AND SPORTS MEDICINE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINA ORTHOPEDIC AND SPORTS MEDICINE INC
Authorized official
DAWN D GARRETT (EXECUTIVE DIRECTOR)
(252) 634-2676
Entity
Organization

Contact information

Practice address
2007 NEUSE BLVD, NEW BERN, NC 28560-3454
(252) 634-2676
(252) 633-3502
Mailing address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 633-3502

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
142144
NC
225100000X
Physical Therapist
142144
NC
225X00000X
Occupational Therapist
142144
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019K4
BCBS
NC
01
047H3
BCBS DME
NC
Enumeration date
08/28/2007
Last updated
08/20/2008
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