| Private Diagnostic Clinic, Pllc | |
|
1309 Carthage St Sanford NC 27330-8984 | |
| (919) 774-6262 | |
| Not Available |
| Full Name | Private Diagnostic Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1309 Carthage St, Sanford, North Carolina |
| Authorized Official Name and Position | Christopher Thomas Frederick (CHIEF FINANCIAL OFFICER) |
| 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 1309 Carthage St Sanford NC 27330-8984 Ph: (919) 774-6262 |
| NPI Number | 1073546255 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073546255 | NPI | - | NPPES |
| 0268Y | Other | NC | GRP |
| 1029437023 | Other | TRICARE GRP | |
| 790268Y | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
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