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Organization

FRYECARE SPECIALTY CENTER LLC

Active
Other names
Fryecare Vascular Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization

Contact information

Practice address
415 N CENTER ST, SUITE 203, HICKORY, NC 28601-5057
(828) 322-2005
(828) 322-2159
Mailing address
PO BOX 743021, ATLANTA, GA 30374-3021
(828) 322-2005
(828) 322-2159

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
05/29/2014
Last updated
06/07/2016
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