Healthcare Provider Details

I. General information

NPI: 1598685026
Provider Name (Legal Business Name): ANNA MICHELLE FRIESZ AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 UNIVERSITY PKWY
MACON GA
31206-5100
US

IV. Provider business mailing address

168 SWANEE LN
WOODSTOCK GA
30188-2498
US

V. Phone/Fax

Practice location:
  • Phone: 478-471-2700
  • Fax:
Mailing address:
  • Phone: 770-289-3307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: