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Individual

SERENA SHAH FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
(770) 590-4180
(770) 590-4186
Mailing address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9829
GA
363AS0400X
Surgical Physician Assistant
306999
LA

Other

Enumeration date
09/01/2017
Last updated
12/14/2023
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