Fry, Michael P

Fry, Michael P is an individual health care provider with primary practice located at 420 Thomson Cir , Abbeville SC 29620-5656. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fry, Michael P can be contacted via phone (864) 366-5011.

Contact Information

Primary practice address
420 Thomson Cir Abbeville SC 29620-5656
Phone: (864) 366-5011
Fax: (864) 366-3343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X HTL-098 South Carolina

Profile Details

NPI number 1881768349
LBN Legal business name Fry, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Oct 25th, 2007 - about 18 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 1881768349 NPPES
South Carolina MEDICAID 092792

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