Organization
ORTHOCAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization
Contact information
Practice address
124 WELTON WAY, MOORESVILLE, NC 28117-9163
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38865
NC
225100000X
Physical Therapist
38865
NC
363A00000X
Physician Assistant
38865
NC
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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