NPI 1013367960
Willa Fry, AUD
Practice location
- Address
- 1101 Johnson Ave Suite 204, Myrtle Beach, SC 29577-1893
- Phone
- (843) 477-0177
Registered specialties
Audiologist
Primary
Registry record
- NPI
- 1013367960
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Jun 2016
- Record last updated
- 15 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.