Individual
MS. JUDY LYNN FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
50 E HOSPITAL ST, SUITE 4A, MANNING, SC 29102-3149
(803) 433-0797
(803) 433-0896
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
APN2297
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0100
—
SC
Enumeration date
03/24/2006
Last updated
09/25/2017
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