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1154372456
THADDEUS CARL FRICKE
GREENVILLE, SC
NPI
1154372456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 915)
Enumeration Date
2006-05-12
Last Update Date
2013-08-02
Business Address
-- THADDEUS CARL FRICKE PA
200 PATEWOOD DR SUITE C100
GREENVILLE, SC 29615-3593
Phone number: 864-454-7422
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Mailing Address
-- THADDEUS CARL FRICKE PA
1 INDEPENDENCE PT SUITE 212
GREENVILLE, SC 29615-4545
Phone number: 864-797-6044
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