Kroncke Wound Management Pllc

NPI 1043499007 - General Practice - 208D00000X

NPI Details
NPI 1043499007
Enumeration Date 10/26/2007
Last Updated 12/18/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FREDERICK G FREDERICK
Position OWNER
Phone (252) 903-3124
Fax
Practice Location
156 CANDLEWOOD RD
ROCKY MOUNT NC, 27804-2107, US
Phone (252) 903-3124
Fax
Business Location
156 CANDLEWOOD RD
ROCKY MOUNT NC, 27804-2107, US
Phone (252) 903-3124
Fax
Toxanomy
Taxonomy Code 208D00000X
License State North Carolina
License Number 16896
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According to our database, Kroncke Wound Management Pllc NPI is 1043499007, taxonomy code is 208D00000X and license number is 16896, license state is located at North Carolina. Kroncke Wound Management Pllc physically located at 156 Candlewood Rd, Rocky Mount NC, 27804-2107. NPI Number 1033115704 has the healthcare provider type.

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1043499007 NPI number is provided on an as is basis without warranty of any kind. 1043499007 is maintained by the National Plan & Provider Enumeration System. The contents of Kroncke Wound Management Pllc are for informational purposes only.