Provider Demographics
NPI:1730146796
Name:FREILICH, STEVEN HILLEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HILLEL
Last Name:FREILICH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:POB 422002
Mailing Address - Street 2:PEDIATRIC EMERGENCY MEDICINE ASSOCIATES
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:770-938-0772
Mailing Address - Fax:770-621-9230
Practice Address - Street 1:PEMA, CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE
Practice Address - Street 2:1001 JOHNSON FERRY ROAD
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:770-938-0772
Practice Address - Fax:770-621-9230
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2015-10-09
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Provider Licenses
StateLicense IDTaxonomies
GA0391012080P0204X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000646951Medicaid
GA000646951Medicaid