Organization
CAROLINA ORTHOPEDICS AND SPORTS MEDICINE SPECIALISTS, PA
Active
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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