Individual
KRISTAN MONET FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 RED BUD CIR, VILLA RICA, GA 30180-5329
(404) 862-2390
Mailing address
1136 RED BUD CIR, VILLA RICA, GA 30180-5329
(404) 862-2390
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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