Organization
CAROLINA ORTHOPEDICS AND SPORTS MEDICINE SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD BENFIELD (PRESIDENT)
(704) 878-9004
Entity
Organization
Contact information
Practice address
702 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 878-9004
(704) 878-0047
Mailing address
702 HARTNESS RD, STATESVILLE, NC 28677-3425
(704) 878-9004
(704) 878-0047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110B
BLUE CROSS BLUE SHIELD
NC
01
—
1104884964
PROVIDER NPI
NC
01
—
1962463372
PROVIDER NPI
NC
05
—
890110B
—
NC
01
—
DG6437
RAILROAD MEDICARE
NC
Enumeration date
10/10/2006
Last updated
04/23/2008
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