Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 2013-01135 | NC |
N | 207VG0400X | Gynecologist | C6264 | AR |
NPI | 1093860017 |
---|---|
Provider Name | Dr. Cynthia N Frazier |
First Address | Southport, NC 28461-3041 |
Second Address | Southport, NC 28461-3041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 12/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D04550 | (02) |