Individual
MR. JEFFREY T FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
790 VETERANS PKWY, SUITE 111, HINESVILLE, GA 31313-3915
(912) 368-3868
(912) 368-3866
Mailing address
1815 OLD CARRIAGE TRL, STATESBORO, GA 30458-2561
(814) 591-1029
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
GA5085
GA
363AM0700X
Medical Physician Assistant
MA002318L
PA
Other
Enumeration date
06/15/2006
Last updated
01/31/2014
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