Organization
MID-SOUTH ORTHOPAEDIC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SUGLIA (OFFICE MG)
(910) 295-4500
Entity
Organization
Contact information
Practice address
40 AVIEMORE DR, PINEHURST, NC 28374-9700
(910) 295-4500
Mailing address
40 AVIEMORE DR, PINEHURST, NC 28374-9700
(910) 295-4500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7980756
—
NC
01
—
80756
BCBS
NC
Enumeration date
09/21/2006
Last updated
01/17/2008
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