Individual
DR. JEREMY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 N MAIN ST, BLACKSBURG, VA 24060-2522
(540) 951-8380
Mailing address
1704 WESTOVER DR, BLACKSBURG, VA 24060-2664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-229751
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010069475
—
VA
05
—
010073456
—
VA
Enumeration date
12/01/2005
Last updated
08/17/2021
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