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NPI Code Detail

MEDICARE: JHONSLEY FREDERIC

MEDICARE:   JHONSLEY  FREDERIC
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
1208M00000XHospitalist Physician111261GA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1518662618
Entity Type Code : Individual
Provider Name (Legal Business Name) : JHONSLEY FREDERIC
Provider Business Mailing Address
First Line : 720 WESTVIEW DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 720 WESTVIEW DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-756-1383
Fax Number : 404-756-1313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 06/09/2026

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Directions to “ JHONSLEY FREDERIC ” Practice Location

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