Provider Demographics
NPI:1184094898
Name:CLAUDE C. FRAZIER, III, DO
Entity type:Organization
Organization Name:CLAUDE C. FRAZIER, III, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:C
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:865-541-2929
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:865-541-2929
Mailing Address - Fax:865-541-2928
Practice Address - Street 1:501 19TH ST
Practice Address - Street 2:STE 309
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1854
Practice Address - Country:US
Practice Address - Phone:865-541-2929
Practice Address - Fax:865-541-2928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty