Individual
JON L FREELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 TROTWOOD AVE, SUITE 503, COLUMBIA, TN 38401-6436
(931) 490-7775
(931) 490-7797
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303B, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 490-4654
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
38525
TN
207RP1001X
Pulmonary Disease Physician
Primary
38525
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725122
—
TN
05
—
3893432
—
TN
01
—
4087117
BCBS TN
TN
Enumeration date
12/13/2006
Last updated
04/12/2011
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