Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Central Carolina Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 774-2100
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
07/11/2022
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