Private Diagnostic Clinic, Pllc in Smithfield - Sports Medicine
Private Diagnostic Clinic, Pllc - NPI 1932125432
Private Diagnostic Clinic, Pllc is a Sports Medicine in Smithfield, 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 1932125432. The last update date is 2022-07-11.
Private Diagnostic Clinic, Pllc's current location address is 507 N Brightleaf Blvd, Smithfield, North Carolina. You can contact this provider via phone number 9199896535. The mailing address for Private Diagnostic Clinic, Pllc is 507 N Brightleaf Blvd, Smithfield, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Private Diagnostic Clinic, Pllc |
|---|---|
| Address | 507 N Brightleaf Blvd, Smithfield, North Carolina |
| Phone Number | 9199896535 |
| 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 | 1932125432 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2022-07-11 |
Provider Mailing Address Detail
| Address | 507 N Brightleaf Blvd |
|---|---|
| City | Smithfield |
| State | North Carolina (NC) |
| Post Code | 275774405 |
| Phone Number | 9199896535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 011TW | NC | BCBS GRP | |
| 89011TW | NC | -- |
Post Comment/ Review Below
What is the Private Diagnostic Clinic, Pllc's 1932125432?
The Private Diagnostic Clinic, Pllc's NPI (National Provider Identifier) Number is 1932125432. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Private Diagnostic Clinic, Pllc's physical address?
The Private Diagnostic Clinic, Pllc is physically located at 507 N Brightleaf Blvd, in the city of Smithfield, NC, with the postal code 275774405.
What is Private Diagnostic Clinic, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Private Diagnostic Clinic, Pllc's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932125432 to Private Diagnostic Clinic, Pllc?
The Private Diagnostic Clinic, Pllc received its 1932125432 assignment from the Centers for Medicare & Medicaid Services on 2006-07-15.
When was the Private Diagnostic Clinic, Pllc's information last updated?
The Private Diagnostic Clinic, Pllc's information was last updated on 2022-07-11.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH