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Organization
PRIVATE DIAGNOSITC CLINIC
Active
Organization
PRIVATE DIAGNOSITC CLINIC
Active
Other names
DUKE CHILDREN'S PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SCOTT GIBSON (EXECUTIVE VICE DEAN ADMINISTRATION)
(919) 684-3945
Entity
Organization
Contact information
Practice address
10211 ALM ST, SUITE 200, RALEIGH, NC 27617-8221
(919) 307-0301
(919) 307-0323
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 307-0323
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
561029437
NC
Other
Enumeration date
01/13/2017
Last updated
09/12/2023
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