Organization
CAPE FEAR ORTHOPAEDIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY KEITH GILBERT JR. M.D. (PRESIDENT)
(910) 484-2171
Entity
Organization
Contact information
Practice address
142 PARACLETE DR, SUITE 301, RAEFORD, NC 28376-6844
(910) 484-2171
Mailing address
4140 FERNCREEK DRIVE, SUITE 801, FAYETTEVILLE, NC 28314-2572
(910) 484-2171
(910) 484-4568
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901185
—
NC
Enumeration date
10/30/2014
Last updated
10/30/2014
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