Individual
AVA LAWANDA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 DOVER RD STE 7, CLARKSVILLE, TN 37042-4155
(931) 648-2838
Mailing address
1116 ROSEBROOK DR, CLARKSVILLE, TN 37042-5921
(931) 648-2838
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
112688
TN
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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