Private Diagnostic Clinic, Pllc
NPI #1619303690 in Knightdale, North Carolina
Provider Information
- NPI Number
- 1619303690
- Entity Type
- Organization
- Organization Name
- Private Diagnostic Clinic, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 23, 2013
- Last Updated
- Jul 11, 2022
Practice Location
- Address
- 6602 KNIGHTDALE BLVD
- Address 2
- SUITE 204
- City
- Knightdale
- State
- North Carolina
- ZIP Code
- 27545-6525
- Phone
- (919) 782-5273
Authorized Official
- Name
- PAUL RAYMOND NEWMAN
- Title
- EXECUTIVE DIRECTOR, PDC
- Phone
- (919) 613-7652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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