| Doctor Name: | MR. FRED Z FERRIS |
| NPI Number: | 1861496614 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 16546 |
| Business Practice Address: | 2900 Lamb Circle Suite 190, Blue Ridge Nephrology Associates Pc Christiansburg, VA - 240736344 |
| Business Phone Number: | 5406335650 |
| Business Fax Number: | 5406335659 |
| Mailing Address: | Po Box 4127, ROANOKE |
| State: | VA |
| Postal Code: | 24015 |
| Phone Number: | 5409819394 |
| Fax Number: | 5403447154 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 04/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 16546 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |