Organization
NORTHERN CAROLINA ORTHOPAEDICS, PLLC
Active
Organization
NORTHERN CAROLINA ORTHOPAEDICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF E HOLM (ADMINISTRATOR)
(252) 537-5631
Entity
Organization
Contact information
Practice address
171 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6460
(252) 537-5631
(252) 537-7198
Mailing address
171 NC HIGHWAY 125, ROANOKE RAPIDS, NC 27870-6460
(252) 537-5631
(252) 537-7198
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020GA
BCBSNC
NC
05
—
5850336
—
NC
01
—
DO3170
RAILROAD MEDICARE
NC
Enumeration date
03/02/2007
Last updated
11/24/2009
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