Individual
TONYA MAE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
11304 HAWTHORNE DRIVE, SUITE 100, CHARLOTTE, NC 28227
(704) 384-8760
(704) 384-8783
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8760
(704) 384-8783
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103456
NC
Other
Enumeration date
02/13/2006
Last updated
03/03/2008
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