Bradley Lloyd Fricke in Conyers - Vascular & Interventional Radiology
Bradley Lloyd Fricke - NPI 1174701262
Bradley Lloyd Fricke is a Vascular & Interventional Radiology in Conyers, Georgia. Bradley Lloyd Fricke practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Bradley Lloyd Fricke is 1174701262. The last update date is 2022-04-13.
Bradley Lloyd Fricke's current location address is 1412 Milstead Ave Ne, Conyers, Georgia. You can contact this provider via phone number 7706077339 and fax number 7706070789. The mailing address for Bradley Lloyd Fricke is 1412 Milstead Ave Ne, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Lloyd Fricke |
|---|---|
| Address | 1412 Milstead Ave Ne, Conyers, Georgia |
| Phone Number | 7706077339 |
| Fax Number | 7706070789 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174701262 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2022-04-13 |
Provider Mailing Address Detail
| Address | 1412 Milstead Ave Ne |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300123877 |
| Phone Number | 7706077339 |
| Fax Number | 7706070789 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 67879 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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What is the unique identifier code issued to Bradley Lloyd Fricke by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley Lloyd Fricke has been assigned the NPI (National Provider Identifier) 1174701262. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Bradley Lloyd Fricke located?
The Bradley Lloyd Fricke is located at 1412 Milstead Ave Ne, Conyers, GA 300123877.
What is Bradley Lloyd Fricke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradley Lloyd Fricke is Vascular & Interventional Radiology, and the taxonomy code that classifies this field of practice is 2085R0204X.
When did the Bradley Lloyd Fricke receive its 1174701262?
The Bradley Lloyd Fricke was issued its 1174701262 on 2008-01-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Bradley Lloyd Fricke most recently updated or revised?
The information pertaining to Bradley Lloyd Fricke, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-13.
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