Organization Name: | JOHN J. FREEMAN, MD, PA |
NPI Number: | 1144339706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN J. FREEMAN (PRESIDENT) |
Mailing Address: | 838 State Farm Rd. Su: 2 Boone |
State: | NC US |
Postal Code: | 286075391 |
Phone Number: | 8282641282 |
Fax Number: | 8284303513 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 02/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18948 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |