Individual
DR. MICHAEL P FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(864) 366-5011
(864) 366-3343
Mailing address
PO BOX 887, ABBEVILLE, SC 29620-0887
(864) 366-5011
(864) 366-3343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HTL-098
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092792
—
SC
Enumeration date
11/17/2006
Last updated
10/25/2007
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