Individual
STACIE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
2165 RUGBY AVE APT 212, ATLANTA, GA 30337-1042
(404) 468-6447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN217086
GA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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