Individual
FRED GIRTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-3550
Mailing address
3780 EISENHOWER PKWY, MACON, GA 31206-0800
(478) 633-5500
(478) 784-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037214
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557906E
—
GA
Enumeration date
02/28/2006
Last updated
03/15/2011
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