Organization
NORTH CAROLINA SPINE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEE ROBERTS (ADMINISTRATOR)
(919) 942-1629
Entity
Organization
Contact information
Practice address
101 CONNER DR, SUITE 200, CHAPEL HILL, NC 27514-7038
(919) 942-1629
(919) 929-4019
Mailing address
101 CONNER DR, SUITE 200, CHAPEL HILL, NC 27514-7038
(919) 942-1629
(919) 929-4019
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
28441
NC
208100000X
Physical Medicine & Rehabilitation Physician
200301142
NC
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
8262
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA2725
RAILROAD MEDICARE
NC
Enumeration date
09/12/2005
Last updated
05/20/2008
Update your record
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