Individual
DR. FREDERIC FRIES BAHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
188 MEDICAL PARK DRIVE, SUITE B, BREVARD, NC 28712
(828) 884-6702
(828) 884-6925
Mailing address
188 MEDICAL PARK DRIVE, SUITE B, BREVARD, NC 28712
(828) 884-6702
(828) 884-6925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18599
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007740
UNITED HEALTH CARE
NC
01
—
10409
BLUE CROSS BLUE SHIELD
NC
01
—
80389
MEDCOST
NC
05
—
8910409
—
NC
Enumeration date
05/31/2005
Last updated
07/09/2007
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