Friedman, Jared Samuel

Friedman, Jared Samuel is an individual health care provider with primary practice located at 111 Marble Mill Rd Nw , Marietta GA 30060-1047. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Friedman, Jared Samuel can be contacted via phone (770) 422-1013.

Contact Information

Primary practice address
111 Marble Mill Rd Nw Marietta GA 30060-1047
Phone: (770) 422-1013
Fax: (770) 514-5996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X D52722 Georgia
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 052722 Georgia

Profile Details

NPI number 1316904147
LBN Legal business name Friedman, Jared Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 11th, 2019 - about 5 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 1316904147 NPPES
Georgia Other P00145724 MEDICARE RAILROAD
Georgia Other 878435 MEDICARE RAILROAD

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