Individual
FRAZIER EARL FYKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST, STE 104, JACKSON, MS 39202-1651
(601) 969-6404
(601) 973-4541
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
10477
MS
207RI0011X
Interventional Cardiology Physician
Primary
10477
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116537
—
MS
Enumeration date
07/13/2006
Last updated
03/29/2018
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