Individual
DR. HADASSAH D FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21805
WV
208M00000X
Hospitalist Physician
21805
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932127107
—
WV
05
—
2670784
—
OH
01
—
4187083
MEDICARE PIN FOR CHHI 5TH AVE.
WV
05
—
7100037530
—
KY
01
—
P00387441
MEDICARE-RR PROVIDER NUMBER
WV
Enumeration date
07/17/2006
Last updated
03/31/2025
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