Frederick, Mary Gena
Frederick, Mary Gena is an individual health care provider with primary practice located at 1025 Medical Center Dr Delaney Radiologists Group, Pllc, Wilmington NC 28401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Frederick, Mary Gena can be contacted via phone (910) 762-3882.Contact Information
Primary practice address
1025 Medical Center Dr Delaney Radiologists Group, Pllc
Wilmington NC 28401
Phone: (910) 762-3882
Fax: (910) 343-6019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 9300469 | North Carolina |
Profile Details
| NPI number | 1326045972 |
|---|---|
| LBN Legal business name | Frederick, Mary Gena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326045972 | NPPES |
| North Carolina | MEDICAID | 7901897 | |
| North Carolina | MEDICAID | 8901898 |
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