Individual
DR. JACQUELINE A FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 E 10TH ST, ANNISTON, AL 36207-4716
(256) 235-5152
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00025666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555629
—
AL
05
—
187701103
—
TX
01
—
8W1783
BCBS
TX
01
—
P00398665
RAILROAD
TX
Enumeration date
06/25/2006
Last updated
04/14/2010
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