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PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1558639864


NPI Information

NPI: 1558639864
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: DUKE MEDICINE CIRCLE CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
30 DUKE MEDICINE CIRCLE
DURHAM, NC
ZIP 27710
Phone: (919) 684-8111
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PRIVATE DIAGNOSTIC CLINIC, PLLC is a general practice in Durham, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1558639864. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duke Medicine Circle Clinic.

The provider's business location address is:

30 DUKE MEDICINE CIRCLE
DURHAM, NC
ZIP 27710-000
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 12/1/2011 and was last updated on 7/11/2022.


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 & GynecologyNo
2207W00000XOphthalmologyNo
3207X00000XOrthopaedic SurgeryNo
4207Y00000XOtolaryngologyNo
5207K00000XAllergy & ImmunologyNo
6207N00000XDermatologyNo
7207P00000XEmergency MedicineNo
8207Q00000XFamily MedicineNo
9207R00000XInternal MedicineNo
102084N0400XPsychiatry & NeurologyNeurologyNo
112085R0202XRadiologyDiagnostic RadiologyNo
12208600000XSurgeryNo
13208800000XUrologyNo
14208000000XPediatricsNo
15208D00000XGeneral PracticeYes

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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