Organization
ORTHOPAEDICS EAST & SPORTS MEDICINE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. BROHAWN (ADMINISTRATOR)
(252) 757-2663
Entity
Organization
Contact information
Practice address
810 W H SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 757-2663
(252) 317-0829
Mailing address
810 W H SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 757-2663
(252) 317-0829
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690262U
—
NC
Enumeration date
01/27/2006
Last updated
09/18/2014
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