BRIAN SHANE FREDERICK

SPARTANBURG, SC
NPI1699860015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: KY  R0699)
Enumeration Date2006-10-03
Last Update Date2021-01-04
Business Address
Dr. BRIAN SHANE FREDERICK M.D.
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-7025
Mailing Address
Dr. BRIAN SHANE FREDERICK M.D.
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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