Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Children's Specialty Clinic of Cary
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
540 NEW WAVERLY PL, STE 101, CARY, NC 27518-7421
(919) 684-8111
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
08/31/2012
Last updated
07/11/2022
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