Fry, Constance Louise

Fry, Constance Louise is an individual health care provider with primary practice located at 930 Madison Ave Ste 200 , Memphis TN 38103-3452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Fry, Constance Louise can be contacted via phone (901) 448-6650.

Contact Information

Primary practice address
930 Madison Ave Ste 200 Memphis TN 38103-3452
Phone: (901) 448-6650
Fax: (901) 302-2486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD.020017 Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X J2567 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 68123 Tennessee

Profile Details

NPI number 1306804273
LBN Legal business name Fry, Constance Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Oct 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306804273 NPPES
Tennessee MEDICAID Q085226
Tennessee MEDICAID 182388203
Tennessee Other 182388204
Tennessee MEDICAID 306939001

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