Fries, Matthew R

Fries, Matthew R is an individual health care provider with primary practice located at 1601 Watson Blvd , Warner Robins GA 31093-3431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fries, Matthew R can be contacted via phone (912) 261-2669.

Contact Information

Primary practice address
1601 Watson Blvd Warner Robins GA 31093-3431
Phone: (912) 261-2669
Fax: (912) 261-0561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 052247 Georgia

Profile Details

NPI number 1851375448
LBN Legal business name Fries, Matthew R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 29th, 2008 - about 18 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 1851375448 NPPES
Georgia MEDICAID 000973244A

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