Fredrick Lee O'neal JR. MD

NPI 1679638159 - Family Medicine - 207Q00000X

NPI Details
NPI 1679638159
Gender Male
Enumeration Date 12/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1825 MARTHA BERRY BLVD NW
ROME GA, 30165-1625, US
Phone (706) 238-8012
Fax (706) 238-8013
Business Location
1825 MARTHA BERRY BLVD NW
ROME GA, 30165-1625, US
Phone (706) 295-5331
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 033419
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According to our database, Fredrick Lee O'neal JR. MD NPI is 1679638159, taxonomy code is 207Q00000X and license number is 033419, license state is located at Georgia. Fredrick Lee O'neal JR. MD physically located at 1825 Martha Berry Blvd Nw, Rome GA, 30165-1625. NPI Number Fredrick Lee O'neal JR. MD has the Individual type.

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1679638159 NPI number is provided on an as is basis without warranty of any kind. 1679638159 is maintained by the National Plan & Provider Enumeration System. The contents of Fredrick Lee O'neal JR. MD are for informational purposes only.