Port City Orthopaedics Pllc

NPI Registration Record

Provider / Organization	NPI	Date Certified
PORT CITY ORTHOPAEDICS PLLC	1255353298	2024-07-05

The organization Port City Orthopaedics Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1255353298. Registration indicates Port City Orthopaedics Pllc is a provider of services with a specialization in Orthopaedic Surgery (Allopathic & Osteopathic Physicians, Orthopaedic Surgery) (Specialist Network, ) (Orthopaedic Surgery, Allopathic & Osteopathic Physicians)

Entity Type	Organization

Provider Organization	PORT CITY ORTHOPAEDICS PLLC
Practice Office Address	206 CAUSEWAY DR UNIT 232 WRIGHTSVILLE BE, NC US
Practice Office Telephone	9107914492
Practice Office Fax	0000000000
Mailing Address	PO BOX 232 WRIGHTSVILLE BEACH, NC 284800232 US
Business Telephone	9107914492
Business Fax	0000000000
Authorized Official	DERRICK GERARD HICKEY, PRESIDENT 9107914492

Offices / Locations

Address	City / State	Phone / Fax
5305 Wrightsville Ave Ste H	Wilmington, NC 284036507	9107914492 / 8442922339
5302 Oleander Dr	Wilmington, NC 284035810	9107914492 / 9107914355

HPT Codes

Code	Practice	License No State
207X00000X PRIMARY	Orthopaedic Surgery Allopathic & Osteopathic Physicians Orthopaedic Surgery Specialist Network Orthopaedic Surgery Allopathic & Osteopathic Physicians
193400000X SING		Group Code

OPI Codes

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