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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1306862800


NPI Information

NPI: 1306862800
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: SOUTHEAST REGIONAL CANCER CENTER

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
1200 PINE RUN DR
LUMBERTON, NC
ZIP 28358
Phone: (919) 684-8111
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a medical oncology internal medicine in Lumberton, NC. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1306862800. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southeast Regional Cancer Center.

The provider's business location address is:

1200 PINE RUN DR
LUMBERTON, NC
ZIP 28358-180
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 enumeration date for this NPI number is 7/15/2006 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
1207RX0202XInternal MedicineMedical OncologyYes

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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