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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD DENT FREDERICKSON, MD

Active Sole Proprietor

EDWARD DENT FREDERICKSON, MD is a Internal Medicine healthcare provider located in CLAYTON, Georgia. NPI 1386710085 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CLAYTON, GA

Registration Details

NPI Number
1386710085
Provider Type
Individual
Gender
Male
NPI Issued
Nov 27, 2006 (19.526966276307 yrs)
Last Updated
Jul 29, 2019
Licenses
032384 (GA)
032384 (GA)
Sole Proprietor
Yes

Practice Information

Address
156 N MAIN ST
CLAYTON, GA, 305254266
Browse GA providers · Browse ZIP 30525
Phone
7062120390
Fax
7069609209
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in CLAYTON, GA

Name Credential NPI
DR. MICHAEL HOLLIFIELD MD 1831162437
DR. TIMOTHY SCOTT BECK M.D. 1548223779
LLOYD S STUART M.D. 1487665931
GEORGES LAFLEUR MD 1881796498
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.