# PRIVATE DIAGNOSITC CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DUKE CHILDREN'S PRIMARY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477099471
- **Authorized official:** JAMES SCOTT GIBSON (EXECUTIVE VICE DEAN ADMINISTRATION)
- **Authorized official phone:** (919) 684-3945

## Contact information

- **Practice address:** 10211 ALM ST, SUITE 200, RALEIGH, NC 27617-8221
- **Practice address phone:** (919) 307-0301
- **Practice address fax:** (919) 307-0323
- **Mailing address:** PO BOX 110566, DURHAM, NC 27709-5566
- **Mailing address phone:** (919) 620-4855
- **Mailing address fax:** (919) 307-0323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 561029437 | NC | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 09/12/2023