Individual
SVETLANA FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019-7285
(770) 586-0300
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1173225
GA
363AM0700X
Medical Physician Assistant
Primary
9859
GA
Other
Enumeration date
07/21/2020
Last updated
01/07/2021
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