Individual
EDWARD JOHN FRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 247-7539
Mailing address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 247-7539
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
038487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610915A
—
GA
Enumeration date
09/21/2005
Last updated
10/22/2008
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