Individual
DR. FREDERICK MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 639-2395
(423) 636-0487
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD11248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506168
—
TN
05
—
3166451
—
TN
01
—
4148640
BCBS OF TN
TN
Enumeration date
05/25/2006
Last updated
07/08/2015
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