Individual
CHRISTOPHER JEROME FRAILIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1613 N MCKENZIE STREET, FOLEY, AL 36535
(251) 949-3400
Mailing address
PO BOX 1080, FOLEY, AL 36536-1080
(251) 970-1646
(251) 970-1648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00024424
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912238
—
AL
05
—
009912303
—
AL
05
—
009912304
—
AL
05
—
009912306
—
AL
05
—
009994755
—
AL
01
—
1487710042
TRICARE SOUTH
AL
01
—
510-07037
BCBS
AL
01
—
510-07038
BCBS
AL
01
—
510-07039
BCBS
AL
01
—
510-07041
BCBS
AL
Enumeration date
12/28/2006
Last updated
08/17/2010
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