Individual
GARY F FRIEND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
831 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4314
(404) 616-6302
(404) 616-9732
Mailing address
1599 MCPHERSON AVE SE, ATLANTA, GA 30316-1757
(404) 373-4276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004282
GA
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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