Individual
TERRY L FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 MARINA DR, GEORGETOWN, SC 29440-2410
(843) 546-7272
(843) 546-0277
Mailing address
401 MARINA DR, GEORGETOWN, SC 29440-2410
(843) 546-7272
(843) 546-0277
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
14277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142777
—
SC
Enumeration date
05/27/2006
Last updated
06/13/2008
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