Healthcare Provider Details
I. General information
NPI: 1710169800
Provider Name (Legal Business Name): CENTER FOR ORTHOPAEDICS & SPORTS MEDICINE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/29/2007
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
56 MEDICAL PARK DR SUITE 302
FRANKLIN NC
28734-2632
US
IV. Provider business mailing address
56 MEDICAL PARK DR SUITE 302
FRANKLIN NC
28734-2632
US
V. Phone/Fax
- Phone: 828-369-1300
- Fax: 828-369-1400
- Phone: 828-369-1300
- Fax: 828-369-1400
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
PATRICK
KESSLER
Title or Position: OWNER
Credential: M.D.
Phone: 828-369-1300