Organization
KINSTON ORTHOPAEDIC & SPORTS MEDICINE CENTER, P.A.
Active
Organization
KINSTON ORTHOPAEDIC & SPORTS MEDICINE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES HENRY CLASSEN JR. M.D. (PRESIDENT)
(252) 522-2020
Entity
Organization
Contact information
Practice address
701 DOCTORS DR, SUITE G, KINSTON, NC 28501-1584
(252) 522-2020
(252) 527-7133
Mailing address
701 DOCTORS DR, SUITE G, KINSTON, NC 28501-1584
(252) 522-2020
(252) 527-7133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39225
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01978
BCBS PROVIDER NUMBER
NC
01
—
0468350001
MEDICARE DME
NC
05
—
8901978
—
NC
01
—
CJ2328
MEDICARE RAILROAD
NC
Enumeration date
08/31/2006
Last updated
11/12/2007
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