Individual
DR. FREDRICK NTUMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
(470) 644-1119
Mailing address
777 HEMLOCK ST # 159, MACON, GA 31201-2102
(470) 607-5806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036153364
IL
207L00000X
Anesthesiology Physician
90709
GA
207LP3000X
Pediatric Anesthesiology Physician
036153364
IL
207LP3000X
Pediatric Anesthesiology Physician
Primary
90709
GA
Other
Enumeration date
07/09/2014
Last updated
05/27/2024
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