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Organization

PRIVATE DIAGNOSTIC CLINIC, PLLC

Active
Parent organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization

Contact information

Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 620-4700
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/24/2018
Last updated
07/11/2022
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