Individual
FREDDY MORRIS CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 RIVER ST, WILKESBORO, NC 28697-7630
(336) 646-7272
Mailing address
1600 RIVER ST, WILKESBORO, NC 28697-7630
(336) 646-7272
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
1523731701
UT
1835P1200X
Pharmacotherapy Pharmacist
31759
TN
1835P1200X
Pharmacotherapy Pharmacist
9987
KY
363A00000X
Physician Assistant
Primary
0010-08618
NC
363A00000X
Physician Assistant
0110006193
VA
Other
Enumeration date
01/10/2013
Last updated
04/15/2025
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