Provider Demographics
NPI:1538151196
Name:FRASER, HUGH ERSKINE III (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:ERSKINE
Last Name:FRASER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 2700
Mailing Address - Street 2:212 SOUTH MAIN ST., SUITE 4
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-0700
Mailing Address - Country:US
Mailing Address - Phone:434-799-8398
Mailing Address - Fax:434-799-1415
Practice Address - Street 1:212 S MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2924
Practice Address - Country:US
Practice Address - Phone:434-799-8398
Practice Address - Fax:434-799-1415
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC28973207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC33689OtherBCBS OF NC
NC8933689Medicaid
VA249433OtherANTHEM BCBS
F62535Medicare UPIN