Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
North Carolina Orthopaedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER T FREDERICK (PRACTICE CHIEF FINANCIAL OFFICER)
(919) 620-1055
Entity
Organization
Contact information
Practice address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 417-9622
(919) 477-1929
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
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
07/11/2022
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