Organization
FRYECARE PHYSICIANS , LLC
Active
Other names
FryeCare Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
415 N CENTER ST STE 203, HICKORY, NC 28601-5036
(919) 777-2850
Mailing address
PO BOX 100183, ATLANTA, GA 30384-0183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018XF
BCBS NC
—
05
—
590686
—
NC
05
—
5919781
—
NC
01
—
DG8998
RAILROAD MEDICARE
NC
Enumeration date
02/08/2007
Last updated
06/07/2016
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