Individual
JEANNETTE I FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
730 GLYNN ST S, FAYETTEVILLE, GA 30214-2050
(770) 460-3650
Mailing address
273 KITE LAKE RD, FAYETTEVILLE, GA 30214-9608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97455
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A608670
—
CA
Enumeration date
02/24/2006
Last updated
07/30/2024
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