MEDICARE: SABRINA DEBRA FRIERSON 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	208600000X	Surgery Physician	35.125711	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ48224Z	OTHER	CA	MEDICARE IDENTIFICATION #
2	020053720	OTHER	CA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1720075948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA DEBRA FRIERSON MD

Provider Business Mailing Address
First Line	:	90 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1560
Country	:	US
Telephone Number	:	740-446-5225
Fax Number	:	740-446-5956

Provider Business Practice Location Address
First Line	:	90 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1560
Country	:	US
Telephone Number	:	740-446-5225
Fax Number	:	740-446-5956

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	03/27/2015

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