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Organization

ORTHOCAROLINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRENT SHEAR (CFO)
(704) 323-2222
Entity
Organization

Contact information

Practice address
402 W KING ST, KING, NC 27021-9170
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
38865
NC
207X00000X
Orthopaedic Surgery Physician
207XP3100X
Pediatric Orthopaedic Surgery Physician
38865
NC
207XS0106X
Orthopaedic Hand Surgery Physician
38865
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
38865
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
38865
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
38865
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
38865
NC
225100000X
Physical Therapist
38865
NC
225X00000X
Occupational Therapist
38865
NC
363A00000X
Physician Assistant
38865
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8901619
NC
Enumeration date
03/11/2014
Last updated
07/26/2023
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