Organization
ROURK B. FREEMAN, DMD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCY S. FREEMAN (OFFICE MANAGER)
(864) 246-8347
Entity
Organization
Contact information
Practice address
736 SALUDA LAKE RD, GREENVILLE, SC 29611-2460
(864) 246-8347
Mailing address
736 SALUDA LAKE RD, GREENVILLE, SC 29611-2460
(864) 246-8347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4054
STATE LICENSE
SC
05
—
ZX4054
—
SC
Enumeration date
02/22/2007
Last updated
08/22/2020
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