| Fryecare Northwest Hickory, Llc | |
|
915 Tate Blvd Se Suite 186 Se Hickory NC 28602-4042 | |
| (828) 449-8458 | |
| (828) 323-8348 |
| Full Name | Fryecare Northwest Hickory, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 915 Tate Blvd Se, Hickory, North Carolina |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fryecare Northwest Hickory, Llc Po Box 742904 Atlanta GA 30374-2904 Ph: (828) 449-8458 | Fryecare Northwest Hickory, Llc 915 Tate Blvd Se Suite 186 Se Hickory NC 28602-4042 Ph: (828) 449-8458 |
| NPI Number | 1376958827 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376958827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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