MEDICARE: MARY A FRANKOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	30983	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	562097418	OTHER	NC	MEDCOST
2	3365C	OTHER	NC	NCBCBS
3	562097418	OTHER	NC	UNITEDHEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144226374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY A FRANKOS M.D.

Provider Business Mailing Address
First Line	:	112 MEDICAL VILLAGE DR
Second Line	:	UNIT F
City	:	WALLACE
State	:	NC
Zip	:	28466-9999
Country	:	US
Telephone Number	:	910-285-0333
Fax Number	:	910-285-0336

Provider Business Practice Location Address
First Line	:	112 MEDICAL VILLAGE DR
Second Line	:	UNIT F
City	:	WALLACE
State	:	NC
Zip	:	28466-9999
Country	:	US
Telephone Number	:	910-285-0333
Fax Number	:	910-285-0336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/29/2008

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Directions to “ MARY A FRANKOS M.D.” Practice Location

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