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Organization

CAROLINA SPORTS MEDICINE &ORTHOPAEDIC SPECIALISTS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A ESPOSITO MD (PRESIDENT)
(910) 799-0110
Entity
Organization

Contact information

Practice address
1717 SHIPYARD BLVD, SUITE 350, WILMINGTON, NC 28403-8023
(910) 799-0110
(910) 799-1958
Mailing address
1717 SHIPYARD BLVD, SUITE 350, WILMINGTON, NC 28403-8023
(910) 799-0110
(910) 799-1958

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0262N
BCBS PROVIDER NUMBER
NC
01
22064
CIGNA PROVIDER NUMBER
NC
05
890262N
NC
Enumeration date
07/09/2006
Last updated
11/30/2011
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