Individual
MS. TINA W FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2900 GEORGE WASHINGTON MEMORIAL HWY, HAYES, VA 23072-3429
(804) 642-1417
(804) 642-1009
Mailing address
PO BOX 1130, HAYES, VA 23072-1130
(804) 642-1417
(804) 642-1009
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103001001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009304584
—
VA
Enumeration date
12/29/2006
Last updated
07/08/2007
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