Orthocarolina, Pa

NPI 1033137625 - Physician Assistant - 363A00000X

NPI Details
NPI 1033137625
Enumeration Date 07/18/2006
Last Updated 05/11/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BRENT BRENT
Position CFO
Phone (704) 323-2000
Fax
Practice Location
1450 MATTHEWS TOWNSHIP PKWY
SUITE 150
MATTHEWS NC, 28105-2387, US
Phone (704) 323-2000
Fax
Business Location
PO BOX 602179
CHARLOTTE NC, 28260-2179, US
Phone (704) 323-2000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Orthocarolina, Pa NPI is 1033137625, taxonomy code is 363A00000X Orthocarolina, Pa physically located at 1450 Matthews Township Pkwy, Matthews NC, 28105-2387. NPI Number 1033115704 has the healthcare provider type.

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1033137625 NPI number is provided on an as is basis without warranty of any kind. 1033137625 is maintained by the National Plan & Provider Enumeration System. The contents of Orthocarolina, Pa are for informational purposes only.