MEDICARE: THE FRAZER CENTER

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	251C00000X	Developmentally Disabled Services Day Training Agency	251C00000X	GA

General Provider Information

NPI Number	:	1669544342
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FRAZER CENTER

Provider Business Mailing Address
First Line	:	1815 S PONCE DE LEON AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-1310
Country	:	US
Telephone Number	:	404-377-3836
Fax Number	:	404-373-0058

Provider Business Practice Location Address
First Line	:	1815 S PONCE DE LEON AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-1310
Country	:	US
Telephone Number	:	404-377-3836
Fax Number	:	404-373-0058

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. CYNTHIA BYRD-TURNER
Credential	:
Telephone Number	:	404-377-3836

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/22/2020

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Directions to “THE FRAZER CENTER ” Practice Location

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