OrganizationActive
Private Diagnostic Clinic, PLLC
NPI 1861741233 · Sports Medicine (Family Medicine) Physician · Holly Springs, NC
Provider details
- NPI number
- 1861741233
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Frederick, Cfo(919) 613-7762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
190 Rosewood Centre Dr
Ste. 100
Holly Springs, NC 27540-7628
Phone: (919) 238-2000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110566
Durham, NC 27709-5566
Other names (DBA / former)
- Doing business as
- Carolina Family Practice & Sports Medicine-Holly Springs
- Doing business as
- Carolina Family Practice & Sports Medicine-Holly Springs
Registry dates
- Enumerated
- 2012-08-31
- 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.