Organization
CAROLINA BONE & JOINT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL MICHAEL GOLDBERGER MD (AUTHORIZED OFFICIAL)
(704) 541-3055
Entity
Organization
Contact information
Practice address
10508 PARK RD STE 120, CHARLOTTE, NC 28210-8526
(704) 541-3055
(704) 319-2166
Mailing address
10508 PARK RD STE 120, CHARLOTTE, NC 28210-8526
(704) 541-3055
(704) 319-2166
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902849
—
NC
05
—
E02849
—
SC
Enumeration date
12/18/2006
Last updated
05/17/2024
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