OrganizationActive
Private Diagnostic Clinic, PLLC
NPI 1447283619 · Sports Medicine (Orthopaedic Surgery) Physician · Raleigh, NC
Provider details
- NPI number
- 1447283619
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Frederick, Cfo(919) 613-7762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5620 Six Forks Rd
Suite 104
Raleigh, NC 27609-8619
Phone: (919) 684-8111
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110566
Durham, NC 27709-5566
Other names (DBA / former)
- Doing business as
- Carolina Orthopaedics & Sports Medicine
- Doing business as
- Carolina Orthopaedics & Sports Medicine
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2022-07-11
- Certified
- 2022-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.