Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Metabolic and Weight Loss Surgery of Raleigh
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
1212 CEDARHURST DR, STE. 102, RALEIGH, NC 27609-5587
(919) 862-2715
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
07/11/2022
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