Organization
ORTHOCAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA L MCLEMORE (CREDENTIALING COORDINATOR)
(704) 323-2081
Entity
Organization
Contact information
Practice address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2081
(704) 323-3911
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2081
(704) 323-3911
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NC
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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