Individual
DR. ROBERT M FRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE G56, ATLANTA, GA 30342-1703
(404) 252-5626
(404) 252-9651
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE G56, ATLANTA, GA 30342-1703
(404) 252-5626
(404) 252-9651
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
8181
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022842A
—
GA
01
—
850000011
MEDICARE RAILROAD
GA
Enumeration date
04/18/2006
Last updated
04/06/2010
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