Individual
JOHN NATHANUEL FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF PEDIATRICS, JACKSON, MS 39216-4500
(601) 984-6562
(601) 984-2086
Mailing address
2500 N STATE ST, DEPARTMENT OF PEDIATRICS, JACKSON, MS 39216-4500
(601) 984-6562
(601) 984-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26671
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2016
Last updated
08/10/2022
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