Provider Demographics
NPI:1710949508
Name:FRAZIER, CLAUDE CLINTON III (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:CLINTON
Last Name:FRAZIER
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:5410 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5021
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN1748207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F72086Medicare UPIN