Individual
FREDERICK GEORGE KRONCKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NASH MEDICAL ARTS MALL, ROCKY MOUNT, NC 27804-1470
(252) 443-5941
(252) 443-7059
Mailing address
200 NASH MEDICAL ARTS MALL, ROCKY MOUNT, NC 27804-1470
(252) 443-5941
(252) 443-7059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16896
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8950441
—
NC
Enumeration date
11/17/2005
Last updated
12/27/2007
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