Organization
CPC-GATEWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRIEDMAN (MD)
(706) 922-1600
Entity
Organization
Contact information
Practice address
4039 GATEWAY BLVD, GROVETOWN, GA 30813-3195
(706) 922-1600
(706) 922-1010
Mailing address
PO BOX 1967, EVANS, GA 30809-1967
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
01/13/2025
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