Organization · Type 2 NPI

Private Diagnostic Clinic, PLLC

Gastroenterology Physician · Raleigh, NC

NPI number 1366643124 Active

Practice location

3480 Wake Forest Rd, Suite 500
Raleigh, NC 27609-7317

Call (919) 684-8111 Map

Mailing address

PO Box 110566
Durham, NC 27709-5566

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

42 other providers at this address

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NPI record

NPI: 1366643124
Entity type: Organization (Type 2)
Issued: May 30, 2007
Last updated: May 18, 2022
Status: Active

Other names

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Duke Endoscopy of Raleigh · doing business as
Duke Endoscopy of Raleigh · doing business as

Authorized official

Christopher Thomas Frederick
CFO
(919) 613-7762

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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 1366643124

Private Diagnostic Clinic, PLLC's National Provider Identifier is 1366643124, issued on May 30, 2007. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Raleigh, NC. The record was last updated on May 18, 2022.