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

MR. ERIK TYLER FREDLUND, PA-C, LAT, ATC

Active Sole Proprietor

MR. ERIK TYLER FREDLUND, PA-C, LAT, ATC is a Medical Physician Assistant healthcare provider located in BROOKHAVEN, Georgia. NPI 1811209893 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BROOKHAVEN, GA

Registration Details

NPI Number
1811209893
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2010 (16.100334815203 yrs)
Last Updated
Jun 1, 2022
Sole Proprietor
Yes

Practice Information

Address
2602 BROOKHAVEN VW NE
BROOKHAVEN, GA, 303193198
Browse GA providers · Browse ZIP 30319
Phone
4043740116
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BROOKHAVEN, GA

Name Credential NPI
RICHARD GIL RIVERA PA 1548226525
COURTNEY PATTON PA 1366730822
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.