Organization
CAPITAL ORTHOPAEDIC AND SPORTS MEDICINE CENTER
Active
Other names
carolina rehabilitation services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK E BENEDICT MD (PRESIDENT)
(919) 876-8300
Entity
Organization
Contact information
Practice address
1108 DRESSER CT, RALEIGH, NC 27609-7328
(919) 876-8302
(919) 876-9690
Mailing address
PO BOX 19248, RALEIGH, NC 27619-9248
(919) 876-8302
(919) 876-9690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890143H
—
NC
01
—
CC7654
RAILROAD MEDICARE
NC
Enumeration date
05/01/2006
Last updated
09/03/2008
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