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NPI Code Detail

MEDICARE: WILLIAM FRY MD

MEDICARE:   WILLIAM  FRY  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208800000XUrology PhysicianTBDTN

General Provider Information

NPI Number : 1184204976
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM FRY MD
Provider Business Mailing Address
First Line : 2801 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4035
Country : US
Telephone Number : 888-245-0702
Fax Number :
Provider Business Practice Location Address
First Line : 2801 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4035
Country : US
Telephone Number : 888-245-0702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 06/26/2026

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Directions to “ WILLIAM FRY MD” Practice Location

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