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Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Electrophysiology Consultative Clinic of Danville
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
201 S. MAIN STREET, SUITE 1100A, DANVILLE, VA 24541-2938
(434) 791-3009
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4485
(919) 620-4291
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
NULL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
03/19/2010
Last updated
05/15/2022
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