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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1215259858


NPI Information

NPI: 1215259858
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE CHILDREN'S CARDIOLOGY OF FAYETTEVILLE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1991 FORDHAM DR
SUITE 200
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 323-5940
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a cardiovascular disease internal medicine in Fayetteville, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1215259858. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Duke Children's Cardiology Of Fayetteville.

The provider's business location address is:

1991 FORDHAM DR
SUITE 200
FAYETTEVILLE, NC
ZIP 28304-650
Phone: (910) 323-5940
Fax: (910) 323-9746

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The enumeration date for this NPI number is 2/24/2010 and was last updated on 5/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.