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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114007481 | NPPES |
| Georgia | Other | 52448324 002 | BCBS PROVIDER # |
| Georgia | Other | P00308700 | BCBS PROVIDER # |
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