Private Diagnostic Clinic, Pllc
NPI #1124051214 in Durham, North Carolina
Provider Information
- NPI Number
- 1124051214
- Entity Type
- Organization
- Organization Name
- Private Diagnostic Clinic, Pllc
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jul 9, 2006
- Last Updated
- May 13, 2022
Practice Location
- Address
- 5726 FAYETTEVILLE RD
- Address 2
- SUITE 101
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27713-6296
- Phone
- (919) 684-8111
Authorized Official
- Name
- CHRISTOPHER THOMAS FREDERICK
- Title
- CFO
- Phone
- (919) 613-7762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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