Frederickson, Edward Dent

Frederickson, Edward Dent is an sole proprietor health care provider with primary practice located at 156 N Main St , Clayton GA 30525-4266. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Frederickson, Edward Dent can be contacted via phone (706) 212-0390.

Contact Information

Primary practice address
156 N Main St Clayton GA 30525-4266
Phone: (706) 212-0390
Fax: (706) 960-9209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 032384 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 032384 Georgia

Profile Details

NPI number 1386710085
LBN Legal business name Frederickson, Edward Dent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Jul 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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