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Individual

DR. FRED L. PICKLESIMER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
706 GREEN VALLEY RD STE 104, GREENSBORO, NC 27408-7043
(336) 387-2500
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 237-1818
(844) 751-9263

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
37331
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64052657
KY
Enumeration date
07/19/2005
Last updated
10/17/2023
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