Healthcare Provider Details

I. General information

NPI: 1962461426
Provider Name (Legal Business Name): FRANK L FERRIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 08/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 JOHNSON FERRY STE 235
ATLANTA GA
30342
US

IV. Provider business mailing address

1901 BUTTERFIELD RD STE 220
DOWNERS GROVE IL
60515-7915
US

V. Phone/Fax

Practice location:
  • Phone: 404-705-9099
  • Fax: 404-705-9094
Mailing address:
  • Phone: 630-725-2768
  • Fax: 630-725-2783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number011644
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number011644
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: