Individual
JEANETTA W. FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
375 FOUR LEAF LN STE 103, CHARLOTTESVILLE, VA 22903-6905
(434) 243-0700
(434) 243-0680
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101247952
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2007
Last updated
08/09/2023
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