Individual
MICHAEL F FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1955 TEXTILE WAY STE B, GAINESVILLE, GA 30501-2543
(678) 987-1499
(678) 987-1498
Mailing address
4828 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 478-2412
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
82069
GA
207RG0100X
Gastroenterology Physician
ME0032418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000231884004
UNITED HEALTH CARE
—
05
—
009509880
—
AL
05
—
037199800
—
FL
01
—
059123840
BCBS OF ALABAMA
AL
01
—
100007815
RAILROAD MEDICARE
—
01
—
17413
BCBS OF FLORIDA
FL
01
—
2253483
CIGNA
—
01
—
4384517
AETNA
—
01
—
Z018
HEALTH OPTIONS
—
Enumeration date
10/06/2006
Last updated
04/15/2019
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