Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Premier Women's Health Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER T FREDERICK (CFO)
(919) 620-4668
Entity
Organization
Contact information
Practice address
1209 SE INDUSTRY DR, OXFORD, NC 27565
(252) 492-8576
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
—
—
Other
Enumeration date
05/12/2014
Last updated
07/11/2022
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