Healthcare Provider Details

I. General information

NPI: 1275128944
Provider Name (Legal Business Name): DLP FRYE HOSPITALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N CENTER ST
HICKORY NC
28601-5033
US

IV. Provider business mailing address

319 SPRINGWOOD DR NE
VALDESE NC
28690-8710
US

V. Phone/Fax

Practice location:
  • Phone: 828-879-8419
  • Fax:
Mailing address:
  • Phone: 828-443-5395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID PARKER
Title or Position: CEO
Credential:
Phone: 828-443-5395