Organization
JENNIFER CORBITT FREEMAN, M.D., P.C.
Active
Other names
Pavilion Women's Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER OLIVIA FREEMAN M.D. (PRESIDENT)
(678) 817-6314
Entity
Organization
Contact information
Practice address
101 BECKETT LN, SUITE 506, FAYETTEVILLE, GA 30214-7160
(678) 817-6314
(678) 817-6319
Mailing address
101 BECKETT LN, SUITE 506, FAYETTEVILLE, GA 30214-7160
(678) 817-6314
(678) 817-6319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000703249F
—
GA
01
—
2327205
AETNA
GA
05
—
312419
—
GA
01
—
4717925
CIGNA
GA
01
—
75325
BCBS
GA
Enumeration date
10/08/2006
Last updated
06/21/2018
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