Individual
THOMAS A FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
458 KNOLLWOOD ST, WINSTON SALEM, NC 27103-3426
(336) 765-9292
(336) 794-7473
Mailing address
2860 BECKWOOD DR, WINSTON SALEM, NC 27103-5413
(336) 765-4917
(336) 794-7473
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085JG
BCBS PROV NUMBER
NC
Enumeration date
07/21/2006
Last updated
07/08/2007
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