Provider Demographics
NPI:1013241603
Name:FRID, TERRI L (CD(DONA), HCHD, HCHI)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:L
Last Name:FRID
Suffix:
Gender:F
Credentials:CD(DONA), HCHD, HCHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 TANGLE DR
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-9490
Mailing Address - Country:US
Mailing Address - Phone:336-841-1772
Mailing Address - Fax:
Practice Address - Street 1:103 TANGLE DR
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-9490
Practice Address - Country:US
Practice Address - Phone:336-841-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula