THERESA ISABELLA FREDERICK

CHARLOTTE, NC
NPI1184214066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  001011935)
Enumeration Date2021-01-25
Last Update Date2022-03-22
Business Address
Ms. THERESA ISABELLA FREDERICK PA-C
5970 FAIRVIEW RD STE 430
CHARLOTTE, NC 28210-3117
Phone number: 704-503-9884
Mailing Address
Ms. THERESA ISABELLA FREDERICK PA-C
5970 FAIRVIEW RD STE 430
CHARLOTTE, NC 28210-3117
Phone number: 704-503-9884
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