Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Anesthesia of Person County
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
615 RIDGE RD, SUITE 202, ROXBORO, NC 27573-4629
(919) 684-8111
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NC
Other
Enumeration date
07/09/2006
Last updated
05/13/2022
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