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Individual
MR. BRIAN T FRETWELL
Active
Individual
MR. BRIAN T FRETWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1070
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140208
UNITED HEALTHCARE
TN
01
—
2000307
BCBS OF TN
TN
05
—
3662424
—
TN
01
—
FP62706
WORKERS COMP
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
11/20/2006
Last updated
11/20/2007
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