Individual
DR. MARY GENA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1025 MEDICAL CENTER DR, DELANEY RADIOLOGISTS GROUP, PLLC, WILMINGTON, NC 28401
(910) 762-3882
(910) 343-6019
Mailing address
1025 MEDICAL CENTER DR, DELANEY RADIOLOGISTS GROUP, PLLC, WILMINGTON, NC 28401
(910) 763-1800
(910) 763-6419
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9300469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901897
—
NC
05
—
8901898
—
NC
Enumeration date
06/28/2005
Last updated
03/07/2023
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