NPI | 1083152961 |
---|---|
Doing Business As | FRYECARE FAMILY MEDICINE WATAUGA |
Entity Type | Organization |
Authorized Contact | SARA MILLER Director 615-920-7514 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-02-10 |