Organization
PRIVATE DIAGNOSTIC CLINIC PLLC
Active
Parent organization
PRIVATE DIAGNOSTIC CLINIC PLLC
Other names
Duke Orthopaedics Knightdale
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIVATE DIAGNOSTIC CLINIC PLLC
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
162 LEGACY OAKS DR, KNIGHTDALE, NC 27545-6556
(919) 385-3666
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
09/28/2018
Last updated
05/15/2022
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