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1730139429
W WALLACE FRIDY
GREENVILLE, SC
NPI
1730139429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC 5200)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
-- W WALLACE FRIDY M.D.
21 ABERDEEN DR
GREENVILLE, SC 29605-2955
Phone number: 864-242-4122
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Mailing Address
-- W WALLACE FRIDY M.D.
21 ABERDEEN DR
GREENVILLE, SC 29605-2955
Phone number: 864-242-4122
Copy
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