Individual
ERIEN WYNNE FRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 HATCHER LN STE B, CLARKSVILLE, TN 37043-5989
(931) 546-9747
Mailing address
190 HATCHER LN STE B, CLARKSVILLE, TN 37043-5989
(931) 546-9747
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326013566
VETERANS ADMINISTRATION
TN
Enumeration date
08/28/2019
Last updated
11/27/2023
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