Organization
OWEIDA AND CHRISTIAN ORTHOPAEDIC & SPORTS MEDICINE,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ELAINE HAGLER (FINANCIAL MANAGER)
(704) 944-7313
Entity
Organization
Contact information
Practice address
3541 RANDOLPH RD, SUITE 210, CHARLOTTE, NC 28211-1082
(704) 944-0143
(704) 944-7399
Mailing address
3541 RANDOLPH RD, SUITE 210, CHARLOTTE, NC 28211-1082
(704) 944-0143
(704) 944-7399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
201593
NC
174400000X
Specialist
28788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890238K
—
NC
Enumeration date
07/28/2006
Last updated
04/18/2011
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