Private Diagnostic Clinic, Pllc
NPI #1073860045 in Pembroke, North Carolina
Provider Information
- NPI Number
- 1073860045
- Entity Type
- Organization
- Organization Name
- Private Diagnostic Clinic, Pllc
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Aug 9, 2012
- Last Updated
- May 13, 2022
Practice Location
- Address
- 812 CANDY PARK RD
- City
- Pembroke
- State
- North Carolina
- ZIP Code
- 28372-9129
- Phone
- (910) 671-6619
Authorized Official
- Name
- VALLA FABRAE WILSON
- Title
- CHIEF COMPLIANCE, PRIVACY & AUDIT
- Phone
- (919) 668-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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