Healthcare Provider Details
I. General information
NPI: 1063465227
Provider Name (Legal Business Name): FADRIENNE H SESSIONS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/18/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1011 ROCK QUARRY RD
RALEIGH NC
27610-3825
US
IV. Provider business mailing address
1001 ROCK QUARRY RD SUITE 101
RALEIGH NC
27610-3825
US
V. Phone/Fax
- Phone: 919-833-3111
- Fax: 919-834-3118
- Phone: 919-833-3111
- Fax: 919-834-3118
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 36039 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: