Individual
DR. RICHARD FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MEDICAL DR, LAGRANGE, GA 30240-4157
(706) 845-3920
(706) 845-3978
Mailing address
2864 JOHNSON FERRY RD, SUITE 150, MARIETTA, GA 30062-5635
(770) 693-2622
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
022367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00273479A
—
GA
Enumeration date
08/09/2005
Last updated
08/04/2011
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