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Dr. Frazier T Fortenberry JR., MD
Urology Physician in Charlottesville, Virginia
NPI 1376530816

Frazier T Fortenberry JR. is a Urology Physician based in Charlottesville, VA. Frazier T Fortenberry JR. practices in Charlottesville, VA and has the professional credentials of MD. The NPI Number for Frazier T Fortenberry JR. is 1376530816 and holds a License No. 0101044989 (Virginia).

The current practice location address for Frazier T Fortenberry JR. 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
person
Provider Profile Details
NPI Number
1376530816
Provider Name
Frazier T Fortenberry JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
630 Peter Jefferson Pkwy, Charlottesville, VA, 22911-8605
Phone Number
434-244-5722
Fax Number
434-244-5723
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14120 01 VA COMMUNITY HEALTH
23555 01 VA CIGNA
461522 01 VA ANTHEM SERVICES
P00003207 01 VA MEDICARE PIN
367104 01 VA MAMSI
204175 01 VA SOUTHERN HEALTH
340000300 01 VA MEDICARE
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.
0101044989 (Virginia)
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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