Individual
MR. FREDRICK E ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
310 S STRATFORD RD STE 120, WINSTON SALEM, NC 27103-1820
(336) 714-5399
(336) 725-4799
Mailing address
205 BRANCHVIEW DR. NE, CONCORD, NC 28025
(704) 403-9050
(704) 403-9051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101157
—
NC
Enumeration date
07/14/2006
Last updated
04/25/2024
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