Individual
DR. JERRY K FROEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 18TH STREET CIR SE, HICKORY, NC 28602-1361
(828) 322-2550
(828) 322-7748
Mailing address
418 3RD ST NE, HICKORY, NC 28601-5129
(828) 322-8031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19598
NC MEDICAL LICENSE
NC
01
—
34035
BCBS
NC
05
—
8934035
—
NC
Enumeration date
01/06/2006
Last updated
05/25/2011
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