Organization
CAPITAL ORTHOPAEDIC AND SPORTS MEDICINE CENTER
Active
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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