Individual
JASON FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2361 CYPRESS CIR, CONWAY, SC 29526-8921
(843) 234-8600
(843) 234-8601
Mailing address
300 SINGLETON RIDGE RD, ATTENTION CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
93978
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2417263
—
OH
05
—
939783
—
SC
Enumeration date
06/12/2006
Last updated
07/30/2025
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