Thrasher, Fredrick Antonia

Thrasher, Fredrick Antonia is an sole proprietor health care provider with primary practice located at 110 Eagle Spring Dr Ste D , Stockbridge GA 30281-6488. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Thrasher, Fredrick Antonia can be contacted via phone (678) 565-1400.

Contact Information

Primary practice address
110 Eagle Spring Dr Ste D Stockbridge GA 30281-6488
Phone: (678) 565-1400
Fax: (866) 945-9685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 004599 Georgia

Profile Details

NPI number 1033354212
LBN Legal business name Thrasher, Fredrick Antonia
Credentials PHD, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2008
Last updated Jul 20th, 2010 - about 14 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 1033354212 NPPES
Georgia MEDICAID 858969128A

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