Organization · Type 2 NPI

Private Diagnostic Clinic, PLLC

Obstetrics & Gynecology Physician · Mebane, NC

NPI number 1063753283 Active

Practice location

101 Medical Park Dr
Mebane, NC 27302-7639

Call (919) 563-2500 Map

Mailing address

PO Box 110566
Durham, NC 27709-5566

Specialties and licenses

Taxonomy	Code	License
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Gastroenterology Physician	207RG0100X	None listed
Sports Medicine (Internal Medicine) Physician	207RS0010X	None listed
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Podiatrist	213E00000X	None listed

Obstetrics & Gynecology Physician: 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.

6 other providers at this address

NPI record

NPI: 1063753283
Entity type: Organization (Type 2)
Issued: Mar 13, 2013
Last updated: May 13, 2022
Status: Active

Other names

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Kernodle Clinic-Mebane · doing business as
Kernodle Clinic-Mebane · doing business as

Authorized official

Paul R Newman
Executive Director, PDC
(919) 613-7652

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063753283

Private Diagnostic Clinic, PLLC's National Provider Identifier is 1063753283, issued on Mar 13, 2013. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Mebane, NC. The record was last updated on May 13, 2022.