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Contact Information

PRIVATE DIAGNOSTIC CLINIC, PLLC
400 LIBERTY HILL RD
LUMBERTON, NC28358-3014
 Phone: 910-739-3318
 Fax: 910-671-3600
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PRIVATE DIAGNOSTIC CLINIC PLLC · (Female)

NPI Number 1326361189
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2010
Last updated 05/15/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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