Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Gyn Primary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
2100 ERWIN RD, CLINIC A, DURHAM, NC 27710-0001
(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
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NC
Other
Enumeration date
01/26/2007
Last updated
05/15/2022
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