OrganizationActive
Private Diagnostic Clinic, PLLC
NPI 1770224875 · Sports Medicine (Orthopaedic Surgery) Physician · Cary, NC
Provider details
- NPI number
- 1770224875
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Private Diagnostic Clinic, PLLC
- Organization subpart
- Yes
- Authorized official
- Christopher Frederick, Cfo(919) 613-7762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Practice location
100 Duke Health Cary Place
Suite 120
Cary, NC 27519
Phone: (919) 385-8120
Fax: (919) 385-9500
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110566
Durham, NC 27709-5566
Other names (DBA / former)
- Doing business as
- Duke Sports Medicine Green Level
- Doing business as
- Duke Sports Medicine Green Level
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.