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Frazier T Fortenberry Jr Md Plc
Urology Physician in Charlottesville, Virginia
NPI 1215960224

Frazier T Fortenberry Jr Md Plc is a Urology Physician based in Charlottesville, VA. Frazier T Fortenberry Jr Md Plc practices in Charlottesville, VA. The NPI Number for Frazier T Fortenberry Jr Md Plc is 1215960224 and holds a License No. (Virginia).

The current practice location address for Frazier T Fortenberry Jr Md Plc is 630 Peter Jefferson Pkwy, Charlottesville, VA and can be reached out via phone at 434-244-5722 and via fax at 434-244-5723.

Location: 630 Peter Jefferson Pkwy, Charlottesville, VA, 22911-8605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215960224
Provider Name
Frazier T Fortenberry Jr Md Plc
Credential
Provider Entity Type
Organization
Address
630 Peter Jefferson Pkwy, Charlottesville, VA, 22911-8605
Phone Number
434-244-5722
Fax Number
434-244-5723
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DA1531 01 VA MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
630 Peter Jefferson Pkwy
City
Charlottesville
State
Virginia
Zip
22911-8605
Phone Number
434-244-5722
Fax Number
434-244-5723
person
Provider Business Mailing Address Details
Address
630 Peter Jefferson Pkwy
City
Charlottesville
State
Virginia
Zip
22911-8605
Phone Number
434-244-5722
Fax Number
434-244-5723
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
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Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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