MR. George Fredericks IV, FNP-C
NPI #1629798384 in Blountville, Tennessee
Provider Information
- NPI Number
- 1629798384
- Entity Type
- Individual
- Name
- MR. George Fredericks IV, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Aug 31, 2022
- Last Updated
- Dec 12, 2022
Practice Location
- Address
- 1913 HIGHWAY 394
- City
- Blountville
- State
- Tennessee
- ZIP Code
- 37617-5349
- Phone
- (423) 662-7002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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