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Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Community Memorial Healthcenter Cancer and Specialty Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CHIEF FINANCIAL OFFICER)
(919) 613-7762
Entity
Organization
Contact information
Practice address
750 LOMBARDY ST, SOUTH HILL, VA 23970-2112
(434) 774-2417
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
05/13/2022
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