Individual
MR. ERIK TYLER FREDLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, LAT, ATC
Contact information
Practice address
2602 BROOKHAVEN VW NE, BROOKHAVEN, GA 30319-3198
(404) 374-0116
Mailing address
2602 BROOKHAVEN VW NE, BROOKHAVEN, GA 30319-3198
(404) 374-0116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
06/01/2022
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