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Organization

PRIVATE DIAGNOSTIC CLINIC, PLLC

Active
Other names
Duke Specialty of Greensboro
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization

Contact information

Practice address
1126 N CHURCH ST, SUITE 203, GREENSBORO, NC 27401-1027
(336) 235-0944
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
2080P0202X
Pediatric Cardiology Physician
Primary

Other

Enumeration date
02/11/2010
Last updated
07/11/2022
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