| Doctor Name: | MR. WILLIAM T FRYAR |
| NPI Number: | 1043212491 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | F.N.P. |
| License Number: | RN0000046145 |
| Business Practice Address: | 8401 Highway 111 Byrdstown, TN - 385496031 |
| Business Phone Number: | 9318643187 |
| Business Fax Number: | 9318647102 |
| Mailing Address: | 8401 Highway 111, BYRDSTOWN |
| State: | TN |
| Postal Code: | 385496031 |
| Phone Number: | 9318643187 |
| Fax Number: | 9318647102 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 10/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN0000046145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |