Individual
KIMM FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 TOWNPARK LN NW, KENNESAW, GA 30144-5824
(404) 365-0966
Mailing address
7092 ROSELAKE CIR, DOUGLASVILLE, GA 30134-1683
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
RPH023600
GA
1835P1400X
Pain Management Pharmacist
Primary
RPH023600
GA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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