MEDICARE: THOMAS C FRIEDRICH 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
1	207X00000X	Orthopaedic Surgery Physician	17471	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649254442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS C FRIEDRICH MD

Provider Business Mailing Address
First Line	:	PO BOX 79022
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28271
Country	:	US
Telephone Number	:	704-574-0471
Fax Number	:	704-574-0471

Provider Business Practice Location Address
First Line	:	1423 E FRANKLIN ST
Second Line	:	SUITE B
City	:	MONROE
State	:	NC
Zip	:	28112-5266
Country	:	US
Telephone Number	:	704-574-0471
Fax Number	:	704-574-0471

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	10/31/2013

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Directions to “ THOMAS C FRIEDRICH MD” Practice Location

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