Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101046265 | VA |
N | 208600000X | Surgeon | 0101046265 | VA |
Y | 2086S0120X | Pediatric Surgery | 0101046265 | VA |
NPI | 1346218161 |
---|---|
Provider Name | Dr. Frazier W. Frantz |
First Address | Atlanta, GA 30374-1593 |
Second Address | Norfolk, VA 23507-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 14/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006702929 | (05) | VA |
7906293 | (05) | NC |