MARY L FREDRICK

COLUMBIA, SC
NPI1376084970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  20853)
Enumeration Date2017-03-15
Last Update Date2018-08-14
Business Address
Mrs. MARY L FREDRICK APRN
731 POLO ROAD
COLUMBIA, SC 29223
Phone number: 800-491-0909
Mailing Address
Mrs. MARY L FREDRICK APRN
1624 MAIN ST
COLUMBIA, SC 29201-2818
Phone number: 803-726-2350
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