Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke GI at Brier Creek
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
10441 MONCREIFFE RD, SUITE 101, RALEIGH, NC 27617-7810
(800) 266-3853
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
NC
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
10/20/2022
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