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Individual

JOHN LEON FREEMAN JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
223 N MAIN ST, GREENEVILLE, TN 37745-3815
(423) 639-2103
(423) 639-1642
Mailing address
223 N MAIN ST, GREENEVILLE, TN 37745-3815
(423) 639-2103
(423) 639-1642

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207X00000X
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3180082
TN
Enumeration date
09/09/2005
Last updated
07/08/2007
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