| Private Diagnostic Clinic, Pllc | |
|
130 Carthage St # 1b Sanford NC 27330-4203 | |
| (919) 684-8111 | |
| Not Available |
| Full Name | Private Diagnostic Clinic, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 130 Carthage St # 1b, Sanford, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CFO) |
| Authorized Official Contact | 9196137762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Diagnostic Clinic, Pllc Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Private Diagnostic Clinic, Pllc 130 Carthage St # 1b Sanford NC 27330-4203 Ph: (919) 684-8111 |
| NPI Number | 1881740611 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 07/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881740611 | NPI | - | NPPES |
| 0268Y | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (North Carolina) | Primary |
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