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1245590496
JACOB ANDREW FRADY
CHARLOTTE, NC
NPI
1245590496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2015-00058)
Enumeration Date
2012-05-22
Last Update Date
2024-09-05
Business Address
JACOB ANDREW FRADY MD
10628 PARK RD
CHARLOTTE, NC 28210-8407
Phone number: 704-667-7070
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Mailing Address
JACOB ANDREW FRADY MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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