Individual
VICKI R FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1494 STUART RD NE, CLEVELAND, TN 37312-5823
(423) 614-0777
(423) 614-0888
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3164492
BCBS
TN
05
—
3668914
—
TN
Enumeration date
01/27/2006
Last updated
08/13/2008
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