# FRYECARE NORTHWEST HICKORY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376958827
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 915 TATE BLVD SE, SUITE 186 SE, HICKORY, NC 28602-4042
- **Practice address phone:** (828) 449-8458
- **Practice address fax:** (828) 323-8348
- **Mailing address:** PO BOX 742904, ATLANTA, GA 30374-2904
- **Mailing address phone:** (828) 449-8458
- **Mailing address fax:** (828) 323-8348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2014
- **Last updated:** 06/07/2016