Private Diagnostic Clinic, Pllc in Clayton - Sports Medicine
Private Diagnostic Clinic, Pllc - NPI 1306879390
Private Diagnostic Clinic, Pllc is a Sports Medicine in Clayton, North Carolina. Private Diagnostic Clinic, Pllc practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Private Diagnostic Clinic, Pllc is 1306879390. The last update date is 2022-05-15.
Private Diagnostic Clinic, Pllc's current location address is 11618 Us Highway 70 W, Clayton, North Carolina. You can contact this provider via phone number 9196848111. The mailing address for Private Diagnostic Clinic, Pllc is 11618 Us Highway 70 W, Clayton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Private Diagnostic Clinic, Pllc |
|---|---|
| Address | 11618 Us Highway 70 W, Clayton, North Carolina |
| Phone Number | 9196848111 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Frederick Thomas Christopher |
| Telephone Number | 9196137762 |
NPI Number Detail
| NPI Number | 1306879390 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2022-05-15 |
Provider Mailing Address Detail
| Address | 11618 Us Highway 70 W |
|---|---|
| City | Clayton |
| State | North Carolina (NC) |
| Post Code | 275202253 |
| Phone Number | 9196848111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the Private Diagnostic Clinic, Pllc's 1306879390?
The Private Diagnostic Clinic, Pllc's NPI (National Provider Identifier) Number is 1306879390. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Private Diagnostic Clinic, Pllc's facilities are geographically located?
The facilities of Private Diagnostic Clinic, Pllc are physically situated at the following location: 11618 Us Highway 70 W, Clayton, NC, 275202253.
What is the Private Diagnostic Clinic, Pllc's specialty and taxonomy code?
The Private Diagnostic Clinic, Pllc's specialty is Sports Medicine, and the corresponding taxonomy code is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306879390 to Private Diagnostic Clinic, Pllc?
The Private Diagnostic Clinic, Pllc received its 1306879390 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details related to Private Diagnostic Clinic, Pllc most recently updated or revised?
The information pertaining to Private Diagnostic Clinic, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-15.
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