License holder summary

MACON, PHILIP FREDERICKE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MACON, PHILIP FREDERICKE, MD is 8847 MAYSVILLE RD 30558. This doctor license is not current. The license was granted 07/27/1966 and expired on 09/30/2013.

Georgia

Composite Medical Board

MACON, PHILIP FREDERICKE, MD
Medical - Physician
License number
011414
Date granted
07/27/1966
Date expires
09/30/2013
Class
Medical - Physician
Status
Surrendered
Address
8847 MAYSVILLE RD
georgiadoctors.net
ID 38061538
LAST UPDATED 2024-03-18 04:34:01 UTC

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