NICHOLAS LORNE FREDERICKSON

CHARLESTON, SC
NPI1639809130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: SC  MMD.88225)
Enumeration Date2022-06-16
Last Update Date2022-06-16
Business Address
NICHOLAS LORNE FREDERICKSON MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 843-792-1414
Mailing Address
NICHOLAS LORNE FREDERICKSON MD
165 ASHLEY AVE # MSC908
CHARLESTON, SC 29425-8905
Phone number: 843-792-1086
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