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1053707307
BRENT FREDERICK
WINSTON-SALEM, NC
NPI
1053707307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: NC 2018-01512)
Enumeration Date
2015-04-14
Last Update Date
2018-06-26
Business Address
-- BRENT FREDERICK D.O.
MEDICAL CENTER BLVD
WINSTON-SALEM, NC 27157
Phone number: 336-716-3465
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Mailing Address
-- BRENT FREDERICK D.O.
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-4490
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