Individual
SAMANTHA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 ABERDEEN BLVD, GASTONIA, NC 28054-0635
(704) 868-8400
Mailing address
1005 ORCHARD GROVES CT APT 202, BELMONT, NC 28012-4089
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30000898
NC
Other
Enumeration date
06/20/2022
Last updated
12/15/2022
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