Organization
ORTHOPAEDIC SPECIALISTS OF THE CAROLINAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA G. JACKSON (ADM. ASST.)
(336) 768-1270
Entity
Organization
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
(336) 765-6375
Mailing address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
(336) 765-6375
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
75970
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890110Q
—
NC
Enumeration date
10/16/2007
Last updated
10/16/2007
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