Private Diagnostic Clinic, Pllc

NPI #1871842245 in Cary, North Carolina

Provider Information

NPI Number: 1871842245
Entity Type: Organization
Organization Name: Private Diagnostic Clinic, Pllc
Primary Specialty: Pediatrics
Enumeration Date: Aug 31, 2012
Last Updated: Jul 11, 2022

Practice Location

Address: 540 NEW WAVERLY PL
Address 2: STE 101
City: Cary
State: North Carolina
ZIP Code: 27518-7421
Phone: (919) 684-8111

Authorized Official

Name: CHRISTOPHER THOMAS FREDERICK
Title: CFO
Phone: (919) 613-7762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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