| NPI | 1699416149 |
|---|---|
| Other Name | PPCP FRASER |
| Entity Type | Organization |
| Authorized Contact | CATHY JEAN POKORNY Credentialing Coordinator 843-820-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |