Individual
CHAD A FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 FIRSTVILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
(910) 295-0244
Mailing address
5 FIRSTVILLAGE DRIVE, PO BOX 2000, PINEHURST, NC 28374
(910) 295-6831
(910) 295-0244
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-02842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-02842
NCMB
NC
01
—
136600
CONNECTICARE
CT
01
—
290001366CT01
BCBS
CT
Enumeration date
06/29/2006
Last updated
09/10/2018
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