Fryer, Gregory Marcel
Fryer, Gregory Marcel is an sole proprietor health care provider with primary practice located at 190 Hatcher Ln Ste B, Clarksville TN 37043-5988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fryer, Gregory Marcel can be contacted via phone (931) 221-0902.Contact Information
Primary practice address
190 Hatcher Ln Ste B
Clarksville TN 37043-5988
Phone: (931) 221-0902
Fax: (931) 221-0602
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD0000034903 | Tennessee |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 041120 | Georgia |
Profile Details
NPI number | 1326013566 |
---|---|
LBN Legal business name | Fryer, Gregory Marcel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 21st, 2006 |
Last updated | Aug 18th, 2014 - about 10 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 | 1326013566 | NPPES |
Tennessee | MEDICAID | Q003185 |
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