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Individual

DR. CHARLES EARL FRAZIER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 E NORTHWOOD ST, STE 206, GREENSBORO, NC 27401
(336) 274-0168
(336) 274-0340
Mailing address
200 E NORTHWOOD ST, STE 206, GREENSBORO, NC 27401
(336) 274-0168
(336) 274-0340

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
018159
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8933698
NC
Enumeration date
02/16/2007
Last updated
07/08/2007
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