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NPI Code Detail

MEDICARE: ORTHOCAROLINA, PA

MEDICARE: ORTHOCAROLINA, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician
2207XP3100XPediatric Orthopaedic Surgery Physician
3207XS0106XOrthopaedic Hand Surgery Physician
4207XS0114XAdult Reconstructive Orthopaedic Surgery Physician
5207XS0117XOrthopaedic Surgery of the Spine Physician
6207XX0004XOrthopaedic Foot and Ankle Surgery Physician
7207XX0005XSports Medicine (Orthopaedic Surgery) Physician
8207XX0801XOrthopaedic Trauma Physician
9225X00000XOccupational Therapist
10363A00000XPhysician Assistant
11225100000XPhysical Therapist

General Provider Information

NPI Number : 1053542852
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOCAROLINA, PA
Provider Business Mailing Address
First Line : PO BOX 602179
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-2179
Country : US
Telephone Number : 704-323-2000
Fax Number :
Provider Business Practice Location Address
First Line : 5935 CARNEGIE BLVD STE 104
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-4672
Country : US
Telephone Number : 704-323-2500
Fax Number : 704-323-3993
Authorized Official
Title or Position : CFO
Name : BRENT SHEAR
Credential :
Telephone Number : 704-323-2000
Provider Enumeration Date : 07/29/2009
Last Update Date : 08/12/2019

Similar Medicare Providers

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1417243569 — MRS. SALWA QADEER MOT, OTR/L
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1518306398 — MRS. REBECCA E AYERS P.T.
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1568856029 — MR. MATTHEW DAVIS DPT
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1568977577 — ZACHARY COLEMAN PT
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Directions to “ORTHOCAROLINA, PA ” Practice Location

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