Private Diagnostic Clinic, Pllc
NPI #1154354322 in Roxboro, North Carolina
Provider Information
- NPI Number
- 1154354322
- Entity Type
- Organization
- Organization Name
- Private Diagnostic Clinic, Pllc
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jul 9, 2006
- Last Updated
- May 13, 2022
Practice Location
- Address
- 615 RIDGE RD
- Address 2
- SUITE 202
- City
- Roxboro
- State
- North Carolina
- ZIP Code
- 27573-4629
- Phone
- (919) 684-8111
Authorized Official
- Name
- CHRISTOPHER THOMAS FREDERICK
- Title
- CFO
- Phone
- (919) 613-7762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiology |
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