OrganizationActive
Private Diagnostic Clinic, PLLC
NPI 1821389099 · Pain Medicine Physician · Raleigh, NC
Provider details
- NPI number
- 1821389099
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Frederick, Cfo(919) 613-7762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3480 Wake Forest Rd
Suite 208
Raleigh, NC 27609-7376
Phone: (919) 781-4541
Fax: (919) 781-4541
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110566
Durham, NC 27709-5566
Other names (DBA / former)
- Doing business as
- Piedmont Spine Specialists, PA
- Doing business as
- Piedmont Spine Specialists, PA
Registry dates
- Enumerated
- 2011-04-22
- 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.