Private Diagnostic Clinic, Pllc
NPI #1952692303 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1952692303
- Entity Type
- Organization
- Organization Name
- Private Diagnostic Clinic, Pllc
- Primary Specialty
- Pediatrics - Pediatric Cardiology
- Enumeration Date
- Apr 20, 2011
- Last Updated
- Jul 11, 2022
Practice Location
- Address
- 1718 E 4TH ST
- Address 2
- SUITE 304
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28204-3261
- Phone
- (704) 316-1220
Authorized Official
- Name
- CHRISTOPHER THOMAS FREDERICK
- Title
- CFO
- Phone
- (919) 613-7762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Pediatrics - Pediatric Cardiology — Pediatric Cardiology |
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