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Orthocarolina

Orthopaedic Surgery in Charlotte, NC. Organization (NPI-2).

NPI number1104843978
StatusActive
Last updated in NPPESJul 31, 2025

Details

NPI
1104843978
Entity type
Organization (NPI-2)
Legal business name
Orthocarolina
Organization subpart
No
Enumeration date
Jul 16, 2006
Certification date
Jul 31, 2025
Last updated
Jul 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery––
207XS0106X Orthopaedic Surgery, Hand Surgery––
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery––
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine––
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery––
207XX0005X Orthopaedic Surgery, Sports Medicine––
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma––
225100000X Physical Therapist––
225X00000X Occupational Therapist––
363A00000X Physician Assistant––

Practice location

15825 Ballantyne Medical Pl Ste 100
Charlotte, NC 28277-0745

Phone 704-323-2000

Mailing address

Po Box 602179
Charlotte, NC 28260-2179

Phone 704-323-2000

Authorized official

Brent Shear
Cfo
7043232000

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