Organization
KRONCKE WOUND MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK G KRONCKE MD (OWNER)
(252) 903-3124
Entity
Organization
Contact information
Practice address
156 CANDLEWOOD RD, ROCKY MOUNT, NC 27804-2107
(252) 903-3124
Mailing address
156 CANDLEWOOD RD, ROCKY MOUNT, NC 27804-2107
(252) 903-3124
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16896
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8950441
—
NC
Enumeration date
10/26/2007
Last updated
12/18/2007
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