Organization
SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA
Active
Organization
SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA
Active
Other names
Murphy Wainer Orthopedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A WAINER MD (SENIOR PARTNER)
(336) 375-2300
Entity
Organization
Contact information
Practice address
1130 N CHURCH ST, SUITE 100, GREENSBORO, NC 27401-1008
(336) 375-2300
(336) 375-2314
Mailing address
1130 N CHURCH ST, SUITE 100, GREENSBORO, NC 27401-1008
(336) 375-2300
(336) 375-2314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890218E
—
NC
Enumeration date
06/16/2006
Last updated
03/17/2010
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