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Individual

DANIEL FRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6917
(864) 560-6017
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2006-00638
NC
2085R0001X
Radiation Oncology Physician
Primary
33702
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10413621
VA
01
143GK
BCBS
NC
01
191650
MEDCOST
NC
05
3810007104
WV
05
5905801
NC
01
7066862
AETNA
NC
01
808422
PARTNERS
NC
01
AA71137652
MEDICARE PIN
SC
01
P01394193
RAILROAD MEDICARE
SC
05
Q0063K
SC
Enumeration date
08/25/2006
Last updated
01/06/2021
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