Individual provider · Type 1 NPI

Erik Tyler Fredlund, PA-C, LAT, ATC

Medical Physician Assistant · Brookhaven, GA

NPI number 1811209893 Active

Practice location

2602 Brookhaven Vw NE
Brookhaven, GA 30319-3198

Other practice locations

  • 1400 Coleman Ave, Macon, GA 31207-0001 · (478) 301-2135

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1811209893

Erik Tyler Fredlund, PA-C, LAT, ATC's National Provider Identifier is 1811209893, issued on Jul 7, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brookhaven, GA. The record was last updated on Jun 1, 2022.