Organization
NORTHSHORE ORTHOPEDIC & SPORTS MEDICINE CENTER PA
Active
Organization
NORTHSHORE ORTHOPEDIC & SPORTS MEDICINE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CURTIS HILLSGROVE MD (PHYSICIAN)
(704) 658-1050
Entity
Organization
Contact information
Practice address
124 WELTON WAY, MOORESVILLE, NC 28117-9163
(704) 658-1050
Mailing address
124 WELTON WAY, MOORESVILLE, NC 28117-9163
(704) 658-1050
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015XT
BCBS
NC
05
—
89015XT
—
NC
01
—
DE4365
RAILROAD MEDICARE
NC
Enumeration date
03/16/2006
Last updated
11/20/2009
Update your record
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