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Corey Fredericks
NPI 1205509395 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1601 E Market St
Greensboro, NC 27411 - Phone
- (718) 798-1418
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina