Edward Dent Frederickson in Clayton - Internal Medicine
Edward Dent Frederickson - NPI 1386710085
Edward Dent Frederickson is a Internal Medicine in Clayton, Georgia. Edward Dent Frederickson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Edward Dent Frederickson is 1386710085. The last update date is 2019-07-29.
Edward Dent Frederickson's current location address is 156 N Main St, Clayton, Georgia. You can contact this provider via phone number 7062120390 and fax number 7069609209. The mailing address for Edward Dent Frederickson is 156 N Main St, Clayton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Dent Frederickson |
|---|---|
| Address | 156 N Main St, Clayton, Georgia |
| Phone Number | 7062120390 |
| Fax Number | 7069609209 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386710085 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2019-07-29 |
Provider Mailing Address Detail
| Address | 156 N Main St |
|---|---|
| City | Clayton |
| State | Georgia (GA) |
| Post Code | 305254266 |
| Phone Number | 7062120390 |
| Fax Number | 7069609209 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 32384 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Edward Dent Frederickson by the Centers for Medicare & Medicaid Services?
The Edward Dent Frederickson has been issued the NPI (National Provider Identifier) 1386710085, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edward Dent Frederickson located?
The Edward Dent Frederickson is located at 156 N Main St, Clayton, GA 305254266.
What is the Edward Dent Frederickson's area of specialization and corresponding taxonomy classification?
The Edward Dent Frederickson's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1386710085 to Edward Dent Frederickson?
The Edward Dent Frederickson received its 1386710085 assignment from the Centers for Medicare & Medicaid Services on 2006-11-27.
When was the Edward Dent Frederickson's information last updated?
The Edward Dent Frederickson's information was last updated on 2019-07-29.