Organization
PRIVATE DIAGNOSITC CLINIC
Active
Other names
DUKE CHILDREN'S PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SCOTT GIBSON (EXECUTIVE VICE DEAN ADMINISTRATION)
(919) 684-3945
Entity
Organization
Contact information
Practice address
10211 ALM ST, SUITE 200, RALEIGH, NC 27617-8221
(919) 307-0301
(919) 307-0323
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 307-0323
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
561029437
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447306113
—
NC
Enumeration date
01/13/2017
Last updated
09/12/2023
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