Healthcare Provider Details

I. General information

NPI: 1649254442
Provider Name (Legal Business Name): THOMAS C FRIEDRICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 10/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 E FRANKLIN ST SUITE B
MONROE NC
28112-5266
US

IV. Provider business mailing address

PO BOX 79022
CHARLOTTE NC
28271
US

V. Phone/Fax

Practice location:
  • Phone: 704-574-0471
  • Fax: 704-574-0471
Mailing address:
  • Phone: 704-574-0471
  • Fax: 704-574-0471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number17471
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: