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NPI Code Detail

MEDICARE: PRISCILLA BUTLER FRASER NP

MEDICARE: PRISCILLA BUTLER FRASER NP
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
1363LF0000XFamily Nurse PractitionerRN231475GA

General Provider Information

NPI Number : 1598123663
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA BUTLER FRASER NP
Provider Business Mailing Address
First Line : 112 WEDGEFIELD XING
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-1006
Country : US
Telephone Number : 404-775-6333
Fax Number :
Provider Business Practice Location Address
First Line : 2324 US HIGHWAY 17
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-3398
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2016
Last Update Date : 12/05/2024

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