Individual
DR. ROBERT W. FRASER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2839
(704) 355-2272
(704) 355-1865
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
13934
SC
2085R0001X
Radiation Oncology Physician
Primary
23529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0952105007
CIGNA
NC
01
—
2086502
UNITED HEALTHCARE
NC
01
—
212172H
MEDICARE PTAN
NC
01
—
26020
PARTNERS
NC
01
—
33695
BLUE CROSS
NC
01
—
62130
MEDCOST
NC
05
—
8933695
—
NC
05
—
N23529
—
SC
Enumeration date
03/17/2006
Last updated
12/19/2012
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