Organization
ORTHOCAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization
Contact information
Practice address
354 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 323-2000
Mailing address
PO BOX 602179, CHARLOTTE, NC 28260-2179
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38865
NC
225100000X
Physical Therapist
38865
NC
225X00000X
Occupational Therapist
38865
NC
363A00000X
Physician Assistant
38865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
Enumeration date
03/28/2011
Last updated
07/08/2011
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