NPI 1932125432

Private Diagnostic Clinic, PLLC

Organisation Sports Medicine (Orthopaedic Surgery) Physician Smithfield, NC

Practice location

Address: 507 N Brightleaf Blvd Suite 100, Smithfield, NC 27577-4405
Phone: (919) 989-6535
Mailing address: PO Box 110566, Durham, NC 27709-5566

Authorised official

Name: Christopher Thomas Frederick
Title: Cfo
Phone: (919) 613-7762

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X

Other Orthopaedic Surgery providers in North Carolina →

Registry record

NPI: 1932125432
Entity type: Organization
NPI issued: 15 Jul 2006
Record last updated: 11 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.