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Individual

JEFFREY L FRASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4218 ARENDELL ST, MOREHEAD CITY, NC 28557-2866
(252) 247-3265
(252) 247-1076
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 247-3257
(252) 247-1076

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19664
NE
207Q00000X
Family Medicine Physician
Primary
2020-04208
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-00470
UHC
NE
01
03137
BCBS - LINC CARE
NE
05
10026146200
NE
01
3850
MIDLAND'S CHOICE
NE
01
500317
BCBS
NE
Enumeration date
08/03/2006
Last updated
11/25/2020
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