Healthcare Provider Details

I. General information

NPI: 1326046277
Provider Name (Legal Business Name): FREDA D MCCARTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE STE 1265
ATLANTA GA
30308-2239
US

IV. Provider business mailing address

550 PEACHTREE ST NE STE 1265
ATLANTA GA
30308-2239
US

V. Phone/Fax

Practice location:
  • Phone: 404-221-1095
  • Fax: 404-221-1092
Mailing address:
  • Phone: 404-221-1095
  • Fax: 404-221-1092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number053494
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: