Individual
DR. JOHN THOMAS FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 13TH ST, SUITE 250, AUGUSTA, GA 30901-1015
(706) 724-2500
(706) 823-5928
Mailing address
1125 TROUPE ST, AUGUSTA, GA 30904-4480
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
062983
GA
Other
Enumeration date
06/13/2007
Last updated
10/31/2013
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