Individual
MS. ERICA FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 FIELDVIEW LN, COVINGTON, GA 30016-1282
(919) 396-4646
Mailing address
30 FIELDVIEW LN, COVINGTON, GA 30016-1282
(919) 396-4646
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853768449
—
GA
Enumeration date
12/05/2020
Last updated
12/05/2020
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