Doctor Name: | DR. AGNES REGINA FREEMAN |
NPI Number: | 1083616825 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C |
License Number: | 3092 |
Business Practice Address: | 110d Village Rd Ne Suite 204 Leland, NC - 284517412 |
Business Phone Number: | 9103711000 |
Business Fax Number: | 9103711500 |
Mailing Address: | 716 Ocean Hwy W, SUPPLY |
State: | NC |
Postal Code: | 284624056 |
Phone Number: | 9107549000 |
Fax Number: | 9107549080 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3092 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |