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
3060 HICKORY BLVD, HUDSON, NC 28638-2659
(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
207XS0106X
Orthopaedic Hand Surgery Physician
38865
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
38865
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
38865
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
38865
NC
225100000X
Physical Therapist
38865
NC
363A00000X
Physician Assistant
38865
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901619
—
NC
Enumeration date
12/08/2011
Last updated
01/13/2016
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