Organization
JEFFREY A. FRIED, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A FRIED M.D. (OWNER)
(478) 477-0966
Entity
Organization
Contact information
Practice address
6501 PEAKE RD, BLDG 400, MACON, GA 31210-8042
(478) 477-0966
(478) 475-0084
Mailing address
PO BOX 5048, MACON, GA 31208-5048
(478) 477-0966
(478) 475-0084
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE6814
RAILROAD MEDICARE GRP #
GA
Enumeration date
10/23/2006
Last updated
04/25/2012
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