Individual
MARJORIE DEVLIN FREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000726
TN
Other
Enumeration date
08/22/2006
Last updated
12/12/2011
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