Individual
DR. ANDRE' DEAN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, PPS HOSPITALISTS, GLC RM 252-A, GREENVILLE, NC 27834-2818
(252) 847-3898
Mailing address
2100 STANTONSBURG RD, PPS HOSPITALISTS, GLC RM 252-A, GREENVILLE, NC 27834-2818
(252) 847-3898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-00641
NC
208M00000X
Hospitalist Physician
Primary
2007-00641
NC
Other
Enumeration date
07/16/2007
Last updated
11/20/2013
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