Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
University Orthopaedics and Sports Medicine of Clayton
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
11618 US HIGHWAY 70 W, SUITE 200B, CLAYTON, NC 27520-2253
(919) 684-8111
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
05/15/2022
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