Individual
MR. JARED SAMUEL FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Mailing address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
D52722
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
052722
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
878435
BCBS
GA
01
—
P00145724
MEDICARE RAILROAD
GA
Enumeration date
04/26/2006
Last updated
07/11/2019
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