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Organization
PRIVATE DIAGNOSTIC CLINIC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC
Active
Other names
DUKE CHILDREN'S PRIMARY CARE BRIER CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
KENNI WATKINS (FINANICAL CARE COUNSLOR)
(919) 307-0301
Entity
Organization
Contact information
Practice address
10211 ALM ST, SUITE 200, RALEIGH, NC 27617-8221
(919) 307-0301
(919) 307-0323
Mailing address
10211 ALM ST, SUITE 200, RALEIGH, NC 27617-8221
(919) 307-0301
(919) 307-0323
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
1134395114
NC
261QP2300X
Primary Care Clinic/Center
1386819795
NC
261QP2300X
Primary Care Clinic/Center
Primary
1447306113
NC
261QP2300X
Primary Care Clinic/Center
1598007866
NC
261QP2300X
Primary Care Clinic/Center
1760566624
NC
261QP2300X
Primary Care Clinic/Center
1881778785
NC
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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