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Individual

DR. MAURICE JEROME FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
708 S GRANT ST, BLDG 20, FITZGERALD, GA 31750-3788
(229) 423-9308
(229) 423-9309
Mailing address
PO BOX 5070, FITZGERALD, GA 31750-5070
(229) 423-9308
(229) 423-9309

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010397
GA

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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