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Individual

ANIKA FREDERICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-7980
Mailing address
135 HILLRED DR, FAYETTEVILLE, GA 30215-5100
(770) 584-3487

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
GA

Other

Enumeration date
01/22/2026
Last updated
01/22/2026
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