Provider Demographics
NPI:1770735151
Name:JEAN-PIERRE, FRITZ JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRITZ
Middle Name:
Last Name:JEAN-PIERRE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WHITCHER ST NE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1155
Mailing Address - Country:US
Mailing Address - Phone:770-919-7050
Mailing Address - Fax:770-919-7051
Practice Address - Street 1:55 WHITCHER ST NE
Practice Address - Street 2:SUITE 410
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1155
Practice Address - Country:US
Practice Address - Phone:770-919-7050
Practice Address - Fax:770-919-7051
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA062725208600000X
IL036.122004208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery