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NPI Code Detail

MEDICARE: GEORGE WILLIAM FRYHOFER IV MD

MEDICARE: GEORGE WILLIAM FRYHOFER IV MD
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
1207X00000XOrthopaedic Surgery Physician97919GA

General Provider Information

NPI Number : 1861923138
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE WILLIAM FRYHOFER IV MD
Provider Business Mailing Address
First Line : 3870 PLEASANT HILL RD STE 1
Second Line :
City : DULUTH
State : GA
Zip : 30096-4807
Country : US
Telephone Number : 404-355-0743
Fax Number : 855-228-6169
Provider Business Practice Location Address
First Line : 3870 PLEASANT HILL RD STE 1
Second Line :
City : DULUTH
State : GA
Zip : 30096-4807
Country : US
Telephone Number : 404-355-0743
Fax Number : 855-228-6169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 06/10/2026

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