| Carolina Joint And Arthritis Clinic | |
|
5725 Oleander Dr Ste E4 Wilmington NC 28403-4746 | |
| (910) 769-7878 | |
| (910) 769-8967 |
| Full Name | Carolina Joint And Arthritis Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5725 Oleander Dr Ste E4, Wilmington, North Carolina |
| Authorized Official Name and Position | Sherman Austin Yeargan (OWNER / OPERATOR) |
| Authorized Official Contact | 9103987000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Joint And Arthritis Clinic 5725 Oleander Dr Ste E4 Wilmington NC 28403-4746 Ph: (910) 769-7878 | Carolina Joint And Arthritis Clinic 5725 Oleander Dr Ste E4 Wilmington NC 28403-4746 Ph: (910) 769-7878 |
| NPI Number | 1053905158 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 3678981412 |
|---|---|
| Medicare Enrollment ID | O20210416000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053905158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Sherman Austin Yeargan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962421917 PECOS PAC ID: 0345213013 Enrollment ID: I20061212000547 |
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