Provider Demographics
NPI:1497712061
Name:FLAX, FREDRIC B (MD)
Entity Type:Individual
Prefix:
First Name:FREDRIC
Middle Name:B
Last Name:FLAX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3400 C OLD MILTON PKWY
Mailing Address - Street 2:STE 545
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005
Mailing Address - Country:US
Mailing Address - Phone:770-751-0800
Mailing Address - Fax:770-751-7198
Practice Address - Street 1:3400 C OLD MILTON PKWY
Practice Address - Street 2:STE 545
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-751-0800
Practice Address - Fax:770-751-7198
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA017452208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics