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DUKE CARDIOLOGY PEMBROKE
NPI 1073860045
Internal Medicine - Cardiovascular Disease in Pembroke, NC

Active since August 09, 2012
812 CANDY PARK RD, PEMBROKE, NC 28372(910) 671-6619 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Duke Cardiology Pembroke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUKE CARDIOLOGY PEMBROKE (NPI 1073860045) is a healthcare organization registered as a cardiovascular disease in Pembroke, North Carolina and active in the NPI registry since August 2012. The organization lists Valla Fabrae Wilson, Chief Compliance, Privacy & Audit, as its authorized official.

NPPES Registry Identity

NPI1073860045
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePRIVATE DIAGNOSTIC CLINIC, PLLC
Location Address812 CANDY PARK RDPembroke, NC 28372-9129
Mailing AddressPo Box 110566Durham, NC 27709-5566 · (919) 620-4855 · Fax (919) 620-4921
Phone(910) 671-6619
Organization SubpartNo
Authorized OfficialValla Fabrae WilsonChief Compliance, Privacy & Audit · (919) 668-5161
Enumeration DateAugust 9, 2012
Last NPPES UpdateMay 13, 2022
NPPES CertifiedMay 13, 2022
✔ NPI 1073860045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

812 CANDY PARK RD, Pembroke, NC 28372
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Other Names 1

Doing Business AsDuke Cardiology Pembroke

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTEGRATED PAIN & INJURY CENTER, PLLC
General Practice
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Robeson County (910) 521-3093
DR. JOHN ASHLEY DEESE DC
Chiropractor
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Robeson County (910) 521-3093
HANNA ELIZABETH BULLARD PA-C
Physician Assistant
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
KAYLA JACOBS
Physician Assistant
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
MS. TRISHA LYNN CARTER LCSW
Social Worker (Clinical)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
PRIVATE DIAGNOSTIC CLINIC, PLLC
Internal Medicine (Hematology & Oncology)
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 671-5730
GINGER NICHOLE LOCKLEAR MD
Pediatrics
812 CANDY PARK RD
PEMBROKE, NC 28372
Robeson County (910) 521-0201
MR. DAVID A HURLEY RT(R)
Radiologic Technologist (Radiography)
812 CANDY PARK RD, SUITE 7101-C
PEMBROKE, NC 28372
Robeson County (910) 522-0470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Private Diagnostic Clinic, PLLC's NPI number?

The NPI number for Private Diagnostic Clinic, PLLC is 1073860045. It was assigned to this organization in the NPPES registry on August 9, 2012. The provider is doing business as Duke Cardiology Pembroke.

Where is Private Diagnostic Clinic, PLLC located?

Private Diagnostic Clinic, PLLC is located at 812 Candy Park Rd, Pembroke, NC 28372. The listed phone number is (910) 671-6619.

What is Private Diagnostic Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Private Diagnostic Clinic, PLLC was last updated on May 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.