Provider Demographics
NPI:1255730529
Name:FRYECARE WOMEN'S SERVICES, LLC
Entity type:Organization
Organization Name:FRYECARE WOMEN'S SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL CFO, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:O
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-265-5009
Mailing Address - Street 1:PO BOX 743096
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3096
Mailing Address - Country:US
Mailing Address - Phone:828-322-3017
Mailing Address - Fax:828-322-1087
Practice Address - Street 1:210 13TH AVENUE PL NW
Practice Address - Street 2:STE 101
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2502
Practice Address - Country:US
Practice Address - Phone:828-322-3017
Practice Address - Fax:828-322-1087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty