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NPI Code Detail

MEDICARE: WAYNE HENRY FRIEDMAN M.D.

MEDICARE: WAYNE HENRY FRIEDMAN 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
1207V00000XObstetrics & Gynecology Physician41703TN

General Provider Information

NPI Number : 1730247412
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAYNE HENRY FRIEDMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : JACKSON
State : TN
Zip : 38302-0400
Country : US
Telephone Number : 731-423-8697
Fax Number : 731-423-2073
Provider Business Practice Location Address
First Line : 145 INNOVATION DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-3019
Country : US
Telephone Number : 731-422-0213
Fax Number : 731-660-8301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 12/01/2025

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Directions to “ WAYNE HENRY FRIEDMAN M.D.” Practice Location

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