Fried, Jeffrey A

Fried, Jeffrey A is an individual health care provider with primary practice located at 6501 Peake Rd Bldg 400, Macon GA 31210-8042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Fried, Jeffrey A can be contacted via phone (478) 477-0966.

Contact Information

Primary practice address
6501 Peake Rd Bldg 400 Macon GA 31210-8042
Phone: (478) 477-0966
Fax: (478) 475-0084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 040383 Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 040383 Georgia

Profile Details

NPI number 1114007481
LBN Legal business name Fried, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114007481 NPPES
Georgia Other 52448324 002 BCBS PROVIDER #
Georgia Other P00308700 BCBS PROVIDER #

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