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1376530816
FRAZIER T FORTENBERRY
CHARLOTTESVILLE, VA
NPI
1376530816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: VA 0101044989)
Enumeration Date
2005-09-30
Last Update Date
2011-07-21
Business Address
Dr. FRAZIER T FORTENBERRY MD
630 PETER JEFFERSON PKWY SUITE 135
CHARLOTTESVILLE, VA 22911-8605
Phone number: 434-244-5722
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Mailing Address
Dr. FRAZIER T FORTENBERRY MD
630 PETER JEFFERSON PKWY SUITE 135
CHARLOTTESVILLE, VA 22911-8605
Phone number: 434-244-5722
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