Individual
RAYMOND S FRYREAR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 N HOSPITAL DRIVE, STE. 310, WEST COLUMBIA, SC 29169
(803) 796-8901
(803) 796-4217
Mailing address
146 N HOSPITAL DRIVE, STE 310, WEST COLUMBIA, SC 29169
(803) 796-8901
(803) 796-4217
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
53326
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
02/13/2007
Last updated
06/03/2013
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