Organization
ORTHOCAROLINA, PA - BUNDLE PAYMENT PROGRAM LEVEL 5
Active
Parent organization
ORTHOCAROLINA, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOCAROLINA, PA
Authorized official
BRENT SHEAR (CFO)
(704) 323-2222
Entity
Organization
Contact information
Practice address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2256
(704) 945-7681
Mailing address
PO BOX 117444, ATLANTA, GA 30368-7444
(704) 323-2250
(704) 945-7679
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
05/17/2021
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