| NPI | 1972929297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT SHEAR CFO 704-323-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 38865) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 38865) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NC 38865) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NC 38865) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NC 38865) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NC 38865) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 38865) | |
| 225100000X Physical Therapist (Licence: NC 38865) | |
| 225X00000X Occupational Therapist (Licence: NC 38865) | |
| 363A00000X Physician Assistant (Licence: NC 38865) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2020-12-18 |