MEDICARE: DR. ROBERT C FRITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	22761	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134181167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT C FRITZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1415
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-0025
Country	:	US
Telephone Number	:	770-476-7047
Fax Number	:	770-476-5845

Provider Business Practice Location Address
First Line	:	3655 HOWELL FERRY RD STE 200
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-3186
Country	:	US
Telephone Number	:	770-476-7047
Fax Number	:	408-335-4730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	05/20/2021

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