Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Pediatric Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL R. NEWMAN (EXECUTIVE DIRECTOR)
(919) 620-4855
Entity
Organization
Contact information
Practice address
4020 N ROXBORO ST, DURHAM, NC 27704-2120
(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
208000000X
Pediatrics Physician
—
NC
208000000X
Pediatrics Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/26/2007
Last updated
07/11/2022
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