Individual
CARRIE CORT FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5110 ROBINHOOD VILLAGE DR STE C-1, WINSTON SALEM, NC 27106-9825
(336) 277-7030
(336) 277-7040
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007-01071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909730
—
NC
Enumeration date
11/19/2007
Last updated
02/01/2022
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