Organization · Type 2 NPI

Private Diagnostic Clinic PLLC

Orthopaedic Surgery Physician · Wake Forest, NC

NPI number 1811472582 Active

Practice location

3000 Rogers Rd
Wake Forest, NC 27587-3800

Call (919) 385-1080 Map

Mailing address

PO Box 110566
Durham, NC 27709-5566

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	None listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

7 other providers at this address

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NPI record

NPI: 1811472582
Entity type: Organization (Type 2)
Issued: Sep 28, 2018
Last updated: Jul 11, 2022
Status: Active
Subpart: Yes of Private Diagnostic Clinic PLLC

Other names

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Duke Orthopaedics Heritage · doing business as
Duke Orthopaedics Heritage · doing business as

Authorized official

Christopher Thomas Frederick
CFO
(919) 613-7762

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1811472582

Private Diagnostic Clinic PLLC's National Provider Identifier is 1811472582, issued on Sep 28, 2018. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Wake Forest, NC. The record was last updated on Jul 11, 2022.