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Organization

PRIVATE DIAGNOSTIC CLINIC, PLLC

Active
Other names
Capital Orthopedic & Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization

Contact information

Practice address
401 KEISLER DR, CARY, NC 27518-7084
(919) 851-5880
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
5950769
NC
Enumeration date
11/19/2009
Last updated
07/11/2022
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