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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1376873000


NPI Information

NPI: 1376873000
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE WOMEN'S HEALTH BRIER CREEK

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 34D1047798

Address:
10211 ALM STREET
SUITE 2100
RALEIGH, NC
ZIP 27617
Phone: (919) 684-8111
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PRIVATE DIAGNOSTIC CLINIC, PLLC is an obstetrics gynecology in Raleigh, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1376873000. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Women's Health Brier Creek.

The provider's business location address is:

10211 ALM STREET
SUITE 2100
RALEIGH, NC
ZIP 27617-221
Phone: (919) 684-8111

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 CLIA number assigned to this NPI record is 34D1047798 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/31/2009 and was last updated on 5/18/2022.


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
1207V00000XObstetrics & GynecologyYes

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

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