Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL R NEWMAN (CHIEF EXECUTIVE OFFICER)
(919) 613-7652
Entity
Organization
Contact information
Practice address
TRENT DR, DURHAM, NC 27710-0001
(919) 613-7744
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/11/2022
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