NPI Code Details Logo

NPI 1508885443

NPI 1508885443 : ANTHONY ADOLPH FRASCA M.D. : MORGANTON, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508885443
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANTHONY ADOLPH FRASCA M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/19/2006
-----------------------------------------------------
    Last Update Date     |    01/05/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    126 FIDDLERS RUN BLVD 
-----------------------------------------------------
    City                 |    MORGANTON
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28655-7753
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-608-0892
-----------------------------------------------------
    Fax                  |    828-608-0373
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 248 
-----------------------------------------------------
    City                 |    MORGANTON
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28680-0248
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-608-0892
-----------------------------------------------------
    Fax                  |    828-608-0373
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    9901177
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.