Individual
DR. MARC FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(334) 249-1450
(334) 395-4410
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18949
MS
207RC0000X
Cardiovascular Disease Physician
18949
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07882391
—
MS
Enumeration date
05/09/2006
Last updated
04/22/2015
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