Individual
EVELYN FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 PETER JEFFERSON PKWY, SUITE 130, CHARLOTTESVILLE, VA 22911-8618
(434) 202-8242
(434) 202-1006
Mailing address
675 PETER JEFFERSON PKWY, SUITE 130, CHARLOTTESVILLE, VA 22911-8618
(434) 202-8242
(434) 202-1006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101248280
VA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
0101248280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
06/11/2007
Last updated
08/26/2016
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