Individual
NATHANIEL FRISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(803) 895-6356
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
02/23/2026
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