Individual
DR. RENEE NICOLE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 786-7053
Mailing address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 786-7053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94602
GA
207Q00000X
Family Medicine Physician
E-16074
AR
Other
Enumeration date
03/20/2020
Last updated
09/22/2023
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