IndividualActive
Frederick Park, M.D.
NPI 1407964547 · Plastic Surgery Physician · Rocky Mount, NC
Provider details
- NPI number
- 1407964547
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 36793 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4008 Capital Drive
Rocky Mount, NC 27804
Phone: (252) 937-5003
Fax: (252) 937-3020
Approximate (ZIP-level) locationGet directions
Mailing address
4008 Capital Drive
Rocky Mount, NC 27804
Registry dates
- Enumerated
- 2006-08-28
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.