Amanda Frederking

NPI 1710547948 · on the registry since 2019 · sole proprietor

Practice

Address: 1215 Hightower Trl
Atlanta, GA 30350
Phone: (866) 750-5554
Organisation at this address: Perimeter Detox, Llc
Integrated Behavioral Solutions
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 204

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-06-19

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