Organization
CAROLINA REGIONAL ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLAIR WALKER (ADMINISTATIVE ASSISTANT)
(252) 443-0400
Entity
Organization
Contact information
Practice address
110 PATRICK CT, ROCKY MOUNT, NC 27804-8755
(252) 443-0400
(252) 443-0572
Mailing address
110 PATRICK CT, ROCKY MOUNT, NC 27804-1743
(252) 443-0400
(252) 443-0572
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173E
BCBS
—
05
—
890173E
—
NC
01
—
C30101
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
05/02/2022
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