Organization
ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A.
Active
Organization
ORTHOPAEDIC SPECIALISTS OF NORTH CAROLINA, P.A.
Active
Other names
OrthoNC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WILLIAM GALLAND MD (SECRETARY)
(919) 562-9410
Entity
Organization
Contact information
Practice address
11221 GALLERIA AVE STE 101, RALEIGH, NC 27614-8137
(919) 562-9410
(919) 562-9425
Mailing address
PO BOX 1107, WAKE FOREST, NC 27588
(919) 562-9410
(919) 562-2948
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NC
208100000X
Physical Medicine & Rehabilitation Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013RF
—
NC
Enumeration date
01/04/2007
Last updated
11/03/2021
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