Heather Leigh Frederick, MA
Contractor · Lake Park, GA
NPI number
1881175578
Practice location
5310 Moss Oak TrlLake Park, GA 31636-3300
- Phone
- (217) 299-1074
NPI record
- NPI
- 1881175578
- Entity type
- Individual (Type 1)
- Enumeration date
- August 22, 2018
- Last updated
- August 22, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Heather Frederick
Heather Leigh Frederick, MA is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 5310 Moss Oak Trl, Lake Park, GA 31636-3300. The NPI number 1881175578 was assigned on August 22, 2018 and the record was last updated on August 22, 2018.
Frequently asked questions
What is the NPI number of Heather Leigh Frederick, MA?
The NPI number is 1881175578.
What is the phone number of Heather Frederick?
The phone number listed for the practice location is (217) 299-1074.
Where is Heather Frederick located?
5310 Moss Oak Trl, Lake Park, GA 31636-3300.
What is the taxonomy code for Heather Frederick?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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