# MR. BRIAN T FRETWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508930843
- **Gender:** Man
- **Credential:** PAC MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1070 | TN | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 11/20/2007

## 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 |