Individual
KEITH BRADY FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2475 WISE ST, COLUMBUS, GA 31903-3453
(706) 289-5245
Mailing address
2475 WISE ST, COLUMBUS, GA 31903-3453
(706) 289-5245
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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