Provider Demographics
NPI:1407439763
Name:FRAZIER, AMY (MS, MLS (ASCP))
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MS, MLS (ASCP)
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:CHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MLS (ASCP)
Mailing Address - Street 1:341 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11935 ABERCORN ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1918
Practice Address - Country:US
Practice Address - Phone:912-344-3109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist