Provider Demographics
NPI:1497993240
Name:FRAZIER, DONNY O
Entity Type:Individual
Prefix:
First Name:DONNY
Middle Name:O
Last Name:FRAZIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2916 MCLAURIN CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8179
Mailing Address - Country:US
Mailing Address - Phone:800-615-1549
Mailing Address - Fax:800-615-1549
Practice Address - Street 1:2916 MCLAURIN CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8179
Practice Address - Country:US
Practice Address - Phone:800-615-1549
Practice Address - Fax:800-615-1549
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist