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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1326013566 NPPES
Tennessee MEDICAID Q003185

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