Doctor Name: | DR. JOEL ROBERT FREEMAN |
NPI Number: | 1205010162 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 7347 |
Business Practice Address: | 1670 Drydock Ave Building 10 North Charleston, SC - 29405 |
Business Phone Number: | 8437473526 |
Business Fax Number: | 8437473527 |
Mailing Address: | 1670 Drydock Ave, Building 10 NORTH CHARLESTON |
State: | SC |
Postal Code: | 29405 |
Phone Number: | 8437473526 |
Fax Number: | 8437473527 |
NPI Enumeration Date: | 12/27/2007 |
NPI Last Update Date: | 12/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 7347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |