Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Capital Orthopaedic & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CHIEF FINANCIAL OFFICER)
(919) 613-7762
Entity
Organization
Contact information
Practice address
1108 DRESSER CT, RALEIGH, NC 27609-7328
(919) 876-8300
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
05/13/2022
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