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Organization

PRIVATE DIAGNOSTIC CLINIC, PLLC

Active
Other names
Duke Electrophysiology Consultative Clinic of Danville
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization

Contact information

Practice address
201 S. MAIN STREET, SUITE 1100A, DANVILLE, VA 24541-2938
(434) 791-3009
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4485
(919) 620-4291

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary

Other

Enumeration date
03/19/2010
Last updated
05/15/2022
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