Organization
TRI-COUNTY ORTHOPEDIC & SPORTS MEDICINE, PA
Active
Organization
TRI-COUNTY ORTHOPEDIC & SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. S. WHITMAN IV MD (PRESIDENT)
(336) 526-4500
Entity
Organization
Contact information
Practice address
400 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2447
(336) 526-4500
(336) 526-2324
Mailing address
400 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2447
(336) 526-4500
(336) 526-2324
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281H
GROUP BCBS NUMBER
NC
05
—
890281H
—
NC
Enumeration date
03/20/2006
Last updated
11/09/2007
Update your record
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