Private Diagnostic Clinic, Pllc

NPI #1992802128 in Winston Salem, North Carolina

Provider Information

NPI Number: 1992802128
Entity Type: Organization
Organization Name: Private Diagnostic Clinic, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Sep 20, 2006
Last Updated: Jul 11, 2022

Practice Location

Address: 2025 FRONTIS PLAZA BLVD
Address 2: SUITE 100
City: Winston Salem
State: North Carolina
ZIP Code: 27103-5663
Phone: (336) 768-3240

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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