Individual
PATRICE KIMONE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-1000
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
179940
GA
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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