Organization
ORTHOCAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SHEAR (CFO)
(704) 323-2000
Entity
Organization
Contact information
Practice address
2633 CELANESE RD, ROCK HILL, SC 29732-1205
(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
225X00000X
Occupational Therapist
38865
NC
363A00000X
Physician Assistant
38865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
05
—
E08569
—
SC
Enumeration date
11/05/2010
Last updated
05/12/2015
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