Provider Demographics
NPI:1265631584
Name:PREMIER ORTHOPEDICS & SPINE SPECIALISTS, P.C.
Entity type:Organization
Organization Name:PREMIER ORTHOPEDICS & SPINE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DION
Authorized Official - Middle Name:J
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-582-1788
Mailing Address - Street 1:PO BOX 1187
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-1187
Mailing Address - Country:US
Mailing Address - Phone:910-582-1788
Mailing Address - Fax:910-582-1799
Practice Address - Street 1:1021 W HAMLET AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-4523
Practice Address - Country:US
Practice Address - Phone:910-582-1788
Practice Address - Fax:910-582-1799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001334691207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910802Medicaid
NCG34653Medicare UPIN
NC2243617Medicare PIN