Individual
WAYNE T FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 UNIVERSITY PKWY, SUITE 2310, AIKEN, SC 29801-6810
(803) 648-1318
(803) 226-0111
Mailing address
367 S. GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 648-1318
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16717
SC
Other
Enumeration date
04/18/2006
Last updated
03/07/2019
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