Provider Demographics
NPI:1174677199
Name:CLAUDE C. FRAZIER III
Entity Type:Organization
Organization Name:CLAUDE C. FRAZIER III
Other - Org Name:FRAZIER DERMATOLOGY CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:AR ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-584-5727
Mailing Address - Street 1:PO BOX 11849
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37939-1849
Mailing Address - Country:US
Mailing Address - Phone:865-330-0101
Mailing Address - Fax:865-330-9934
Practice Address - Street 1:5410 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5021
Practice Address - Country:US
Practice Address - Phone:865-330-0101
Practice Address - Fax:865-330-9934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1748174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty