Individual
NANCY R FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6750 CAROLINA BLVD, CLYDE, NC 28721-7052
(828) 627-2211
(828) 627-2216
Mailing address
6750 CAROLINA BLVD, CLYDE, NC 28721-7052
(828) 627-2211
(828) 627-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28411
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080136922
RR MEDICARE
NC
01
—
33871
BCBSNC
NC
05
—
8933871
—
NC
Enumeration date
08/16/2005
Last updated
02/07/2015
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