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Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Kernodle Clinic-Easttown
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R NEWMAN (EXECUTIVE DIRECTOR, PDC)
(919) 613-7652
Entity
Organization
Contact information
Practice address
316 N GRAHAM HOPEDALE RD, BURLINGTON, NC 27217-2969
(336) 226-7384
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
03/08/2013
Last updated
07/11/2022
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