Organization
HIGHLANDS INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD D FREDERICKSON MD (CEO)
(706) 212-0390
Entity
Organization
Contact information
Practice address
156 NORTH MAIN ST, CLAYTON, GA 30525-4266
(706) 212-0390
(706) 960-9209
Mailing address
156 NORTH MAIN ST, CLAYTON, GA 30525-4266
(706) 212-0390
(706) 960-9209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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