Provider Information for 1255735213
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Mr. FREDERICK A SADDLER
Sex: Male
NPI: 1255735213
Last Updated: 2023-11-15
Certification Date: 2023-11-15
Certification Date: 2023-11-15
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1255735213 | ||||||||||||
| Enumeration Date | 2014-10-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 200 MCGEE RD ANDERSON, SC 29625-2104 United States Phone: 864-260-2220 | Fax:864-260-2225 | ||||||||||||
| Primary Practice Address | 4500 SHANNON BLVD UNION CITY, GA 30291-2425 United States Phone: 803-537-0795 | Fax: | ||||||||||||
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