Individual
MR. DENNIS MICHAEL FRALEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2839 HERMITAGE LN, FLORENCE, SC 29501-5332
(843) 665-1355
Mailing address
2839 HERMITAGE LN, FLORENCE, SC 29501-5332
(843) 665-1355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R00082962
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0924
—
SC
Enumeration date
07/05/2005
Last updated
03/19/2014
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