Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Private Diagnostic Clinic, PLLC

Organization Dermatology Physician · NPI 1609116664

Private Diagnostic Clinic, PLLC is a Dermatology Physician in Youngsville, North Carolina. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

82 Wheaton Ave
Youngsville, NC 27596-8691
Phone: (919) 562-8887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1609116664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Newman — Executive Director, Pdc · (919) 613-7652
Other names Virginia Lightner Family Dermatology; Virginia Lightner Family Dermatology
NPI enumeratedFebruary 27, 2013
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 110566, Durham, NC 27709-5566

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