Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Capitol Pediatrics and Adolescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RAYMOND NEWMAN (EXECUTIVE DIRECTOR, PDC)
(919) 613-7652
Entity
Organization
Contact information
Practice address
6602 KNIGHTDALE BLVD, SUITE 204, KNIGHTDALE, NC 27545-6525
(919) 782-5273
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
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
07/11/2022
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