Individual
DR. CONSTANCE LOUISE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
930 MADISON AVE STE 200, MEMPHIS, TN 38103-3452
(901) 448-6650
(901) 302-2486
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
68123
TN
207W00000X
Ophthalmology Physician
J2567
TX
207W00000X
Ophthalmology Physician
MD.020017
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182388203
—
TX
01
—
182388204
CSHCN
TX
05
—
200006375
—
MS
05
—
200133851
—
MO
05
—
306939001
—
AR
05
—
Q085226
—
TN
Enumeration date
05/02/2006
Last updated
02/27/2025
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