Nathan P Fredrick in Conway - Emergency Medicine
Nathan P Fredrick - NPI 1871525907
Nathan P Fredrick is a Emergency Medicine in Conway, South Carolina. Nathan P Fredrick practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Nathan P Fredrick is 1871525907. The last update date is 2011-08-17.
Nathan P Fredrick's current location address is Po Box 829, Conway, South Carolina. You can contact this provider via phone number 8433478015 and fax number 8433478017. The mailing address for Nathan P Fredrick is Po Box 829, Conway, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan P Fredrick |
|---|---|
| Address | Po Box 829, Conway, South Carolina |
| Phone Number | 8433478015 |
| Fax Number | 8433478017 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1871525907 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | Po Box 829 |
|---|---|
| City | Conway |
| State | South Carolina (SC) |
| Post Code | 295280829 |
| Phone Number | 8433478015 |
| Fax Number | 8433478017 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 637 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20051649 | MEDICARE RAILROAD | ||
| 361220182 | IL | -- | |
| T00391 | SC | -- | |
| P00679662 | RAILROAD MCARE | ||
| P00936457 | IL | RRMCARE THRU CESIISC (GES) |
Post Comment/ Review Below
What is the unique identifier code issued to Nathan P Fredrick by the Centers for Medicare & Medicaid Services?
The Nathan P Fredrick has been assigned the NPI (National Provider Identifier) 1871525907. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nathan P Fredrick's physical address?
The Nathan P Fredrick is physically located at Po Box 829, in the city of Conway, SC, with the postal code 295280829.
What is the Nathan P Fredrick's area of specialization and corresponding taxonomy classification?
The Nathan P Fredrick's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871525907 to Nathan P Fredrick?
The Centers for Medicare & Medicaid Services originally issued the 1871525907 to Nathan P Fredrick on 2006-07-07.
As of what date were the details related to Nathan P Fredrick most recently updated or revised?
The information pertaining to Nathan P Fredrick, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-17.