Organization
MID-CAROLINA ORTHOPEDIC AND SPINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD DAVIS M.D. (PRESIDENT)
(828) 286-4298
Entity
Organization
Contact information
Practice address
112 SPARKS DR, FOREST CITY, NC 28043-9021
(828) 286-4298
(828) 286-2075
Mailing address
112 SPARKS DR, FOREST CITY, NC 28043-9021
(828) 286-4298
(828) 286-2075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205788A
MEDICARE INDIVIDUAL NUMBER
NC
05
—
890169C
—
NC
Enumeration date
04/24/2006
Last updated
05/07/2008
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