Individual
FRED USOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 RIVERBEND DR SW, SUITE 120, ROME, GA 30161-6013
(706) 378-1202
(706) 378-1204
Mailing address
PO BOX 80883, ATHENS, GA 30608-0883
(706) 549-8114
(833) 955-3672
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD459207
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD459207
PA
208600000X
Surgery Physician
243641
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
71294
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144698A
—
GA
Enumeration date
10/31/2007
Last updated
12/02/2025
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