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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
1000 W HAMLET AVE, HAMLET, NC 28345-4522
(704) 323-2000
Mailing address
4601 PARK RD, STE. 300, CHARLOTTE, NC 28209-3239
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
38865
NC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
38865
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8901619
NC
Enumeration date
03/03/2016
Last updated
03/03/2016
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