Individual
DR. FREDRICK H. ABERNATHY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
317 S 2ND ST, PULASKI, TN 38478-3842
(931) 363-5417
(931) 363-4695
Mailing address
317 S 2ND ST, PULASKI, TN 38478-3842
(931) 363-5417
(931) 363-4695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS5019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4816
—
TN
Enumeration date
10/18/2005
Last updated
07/09/2007
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