Cape Fear Sports Medicine Pa in Wilmington - Sports Medicine

Cape Fear Sports Medicine Pa - NPI 1861670929

Cape Fear Sports Medicine Pa is a Sports Medicine in Wilmington, North Carolina. Cape Fear Sports Medicine Pa practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Cape Fear Sports Medicine Pa is 1861670929. The last update date is 2014-10-06.

Cape Fear Sports Medicine Pa's current location address is 6019 Oleander Drive, Wilmington, North Carolina. You can contact this provider via phone number 9107909714 and fax number 9107911063. The mailing address for Cape Fear Sports Medicine Pa is 6019 Oleander Drive, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cape Fear Sports Medicine Pa
Address 6019 Oleander Drive, Wilmington, North Carolina
Phone Number 9107909714
Fax Number 9107911063
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Boyd Dale
Credentials MD
Telephone Number 9107909714

NPI Number Detail

NPI Number 1861670929
Provider Enumeration Date 2008-01-31
Last Updated Date 2014-10-06

Provider Mailing Address Detail

Address 6019 Oleander Drive
City Wilmington
State North Carolina (NC)
Post Code 28403
Phone Number 9107909714
Fax Number 9107911063

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 35845
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8917205 NC --

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FAQs about Cape Fear Sports Medicine Pa

What is the unique 10-digit identification code assigned to Cape Fear Sports Medicine Pa by the Centers for Medicare & Medicaid Services?

The Cape Fear Sports Medicine Pa has been issued the NPI (National Provider Identifier) 1861670929, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Cape Fear Sports Medicine Pa?

The Cape Fear Sports Medicine Pa is situated at 6019 Oleander Drive, in the city of Wilmington, state of NC, with the zip code 28403.

What is the Cape Fear Sports Medicine Pa's specialty and taxonomy code?

The Cape Fear Sports Medicine Pa's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.

On what date did the Cape Fear Sports Medicine Pa receive its 1861670929 assignment from the Centers for Medicare & Medicaid Services?

The Cape Fear Sports Medicine Pa was assigned its 1861670929 by the Centers for Medicare & Medicaid Services on 2008-01-31.

As of what date were the details related to Cape Fear Sports Medicine Pa most recently updated or revised?

The information pertaining to Cape Fear Sports Medicine Pa, including its address, specialty, and other relevant details, was last updated or revised on 2014-10-06.

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