Individual
MR. WILLIAM LARRY FRASER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
47 FISHERMAN LN, GREENVILLE, SC 29615-5013
(864) 477-5679
Mailing address
47 FISHERMAN LN, GREENVILLE, SC 29615-5013
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
258383
SC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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