Individual
DR. TIMOTHY EDWARD FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
312 ACADEMY ST S, AHOSKIE, NC 27910-3200
(252) 332-4155
(252) 332-6527
Mailing address
312 ACADEMY ST S, PO BOX 340, AHOSKIE, NC 27910-3200
(252) 332-4155
(252) 332-6527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010157
BCBS
NC
05
—
8933883
—
NC
Enumeration date
07/18/2005
Last updated
01/19/2021
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