Organization
CAROLINA ORTHOPAEDIC & SPORTS MEDICINE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY CLAYTON THOMASON III MD (PRESIDENT)
(704) 865-0077
Entity
Organization
Contact information
Practice address
2345 COURT DRIVE, GASTONIA, NC 28054-2151
(704) 865-0077
(704) 867-6401
Mailing address
2345 COURT DRIVE, GASTONIA, NC 28054-2151
(704) 865-0077
(704) 867-6401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89098L
—
NC
Enumeration date
03/22/2007
Last updated
08/12/2014
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