Individual
DR. FREDRICK C HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
3646 WHEELER RD, AUGUSTA, GA 30909-6519
(706) 863-0410
(706) 863-9368
Mailing address
3646 WHEELER RD, AUGUSTA, GA 30909-6519
(706) 863-0410
(706) 863-9368
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000159541A
—
GA
Enumeration date
06/28/2006
Last updated
07/08/2007
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