NPI 1053344242

Private Diagnostic Clinic, PLLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Lumberton, NC

Practice location

Address: 2936 N Elm St Suite 102, Lumberton, NC 28358-2981
Phone: (910) 671-6619
Mailing address: PO Box 110566, Durham, NC 27709-5566

Authorised official

Name: Christopher Thomas Frederick
Title: Chief Financial Officer
Phone: (919) 613-7762

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X

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Registry record

NPI: 1053344242
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 13 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.