Individual
JERRIE D FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3614 J DEWEY GRAY CIR STE D, AUGUSTA, GA 30909-6512
(706) 868-7380
(706) 868-7223
Mailing address
290 YUMA TRL, MARTINEZ, GA 30907-5117
(706) 650-9878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1003
GA
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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