Search › Georgia › 103K00000X
Anthony Fredrick
NPI 1699347898 · on the registry since 2021
Practice
- Address
- 5664 Mountain Meadow Ct
Stone Mountain, GA 30087 - Phone
- (404) 374-9590
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia