Private Diagnostic Clinic, Pllc

NPI #1447306113 in Durham, North Carolina

Provider Information

NPI Number: 1447306113
Entity Type: Organization
Organization Name: Private Diagnostic Clinic, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Jan 26, 2007
Last Updated: Jul 11, 2022

Practice Location

Address: 4020 N ROXBORO ST
City: Durham
State: North Carolina
ZIP Code: 27704-2120
Phone: (919) 684-8111

Authorized Official

Name: PAUL R. NEWMAN
Title: EXECUTIVE DIRECTOR
Phone: (919) 620-4855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Community/Behavioral Health	251S00000X

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