Fry, Terry L

Fry, Terry L is an individual health care provider with primary practice located at 401 Marina Dr , Georgetown SC 29440-2410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as her primary health care specialty. Fry, Terry L can be contacted via phone (843) 546-7272.

Contact Information

Primary practice address
401 Marina Dr Georgetown SC 29440-2410
Fax: (843) 546-0277
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 14277 South Carolina

Profile Details

NPI number 1104873017
LBN Legal business name Fry, Terry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jun 13th, 2008 - 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 1104873017 NPPES
South Carolina MEDICAID 142777

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