Individual
MR. COREY WILLIAM FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2301 ERWIN RD, BOX 3677, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
2301 ERWIN RD, BOX 3677, DURHAM, NC 27705-4699
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
19960
CA
363LA2100X
Acute Care Nurse Practitioner
201050219NP
OR
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
5008726
NC
Other
Enumeration date
11/05/2010
Last updated
02/02/2017
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