Individual
TRACE ISAIAH FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
428 BILTMORE AVE, MMA PSYCHIATRIC SERVICES, ASHEVILLE, NC 28801-4502
(828) 213-4502
(828) 651-1575
Mailing address
PO BOX 602373, MMA PSYCHIATRIC SERVICES, CHARLOTTE, NC 28260-2373
(828) 250-2833
(828) 250-2932
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010-01727
NC
Other
Enumeration date
05/11/2009
Last updated
09/03/2013
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