| Doctor Name: | DR. CHARLES ROGER FREED |
| NPI Number: | 1992825889 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 33877 |
| Business Practice Address: | 5515 Edmondson Pike Suite 119-e Nashville, TN - 372115871 |
| Business Phone Number: | 6157832648 |
| Business Fax Number: | 9782853016 |
| Mailing Address: | 5515 Edmondson Pike, Suite 119-e NASHVILLE |
| State: | TN |
| Postal Code: | 372115871 |
| Phone Number: | 6157832648 |
| Fax Number: | 9782853016 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | 33877 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |