Healthcare Provider Details

I. General information

NPI: 1275554263
Provider Name (Legal Business Name): WESTERN CAROLINA ORTHOPAEDIC SPECIALISTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 05/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 LEROY GEORGE DR SUITE 300
CLYDE NC
28721-8085
US

IV. Provider business mailing address

581 LEROY GEORGE DR SUITE 300
CLYDE NC
28721-8085
US

V. Phone/Fax

Practice location:
  • Phone: 828-452-4131
  • Fax: 828-452-4095
Mailing address:
  • Phone: 828-452-4131
  • Fax: 828-452-4095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number200500835
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number200701605
License Number StateNC

VIII. Authorized Official

Name: CHRISTOFER C. CATTERSON
Title or Position: PRESIDENT
Credential: MD
Phone: 828-452-4131