Individual
MR. FREDERICK H FRITZSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 671-2019
(229) 671-2010
Mailing address
101 PINE LAKE DR, THOMASVILLE, GA 31792-5337
(229) 226-7154
(229) 226-1504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048045
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00879788A
—
GA
Enumeration date
07/23/2006
Last updated
07/08/2007
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