Fry, Judy Lynn

Fry, Judy Lynn is an individual health care provider with primary practice located at 50 E Hospital St Suite 4A, Manning SC 29102-3149. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Fry, Judy Lynn can be contacted via phone (803) 433-0797.

Contact Information

Primary practice address
50 E Hospital St Suite 4A Manning SC 29102-3149
Fax: (803) 433-0896
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X APN2297 South Carolina

Profile Details

NPI number 1366402224
LBN Legal business name Fry, Judy Lynn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 25th, 2017 - about 8 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 1366402224 NPPES
South Carolina MEDICAID MW0100

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