Organization
CAROLINA ORTHOPEDIC AND SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DORMINEY GARRETT (EXECUTIVE DIRECTOR)
(252) 634-2676
Entity
Organization
Contact information
Practice address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 633-3502
Mailing address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 633-3502
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019K4
BCBS
NC
01
—
047H3
BCBS DME
NC
05
—
5908528
—
NC
05
—
7200159
—
NC
Enumeration date
05/29/2007
Last updated
08/05/2008
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