Provider Demographics
NPI:1609114206
Name:FRITZEN, CHRISTOPHER STEPHEN (PA-C)
Entity Type:Individual
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First Name:CHRISTOPHER
Middle Name:STEPHEN
Last Name:FRITZEN
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:335 W PONCE DE LEON AVE
Mailing Address - Street 2:#211
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2451
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3579 HIGHWAY 138 SE
Practice Address - Street 2:SUITE 101
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4142
Practice Address - Country:US
Practice Address - Phone:770-507-0029
Practice Address - Fax:770-507-9990
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2013-02-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant