Organization
FREEDOM PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES TODD BRUKER MD (OWNER)
(912) 239-4235
Entity
Organization
Contact information
Practice address
4849 PAULSEN ST STE 212, SAVANNAH, GA 31405-4425
(912) 239-4235
Mailing address
PO BOX 16266, SAVANNAH, GA 31416-2966
(912) 239-4235
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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