Individual
DR. KERRY RONALD FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6162 GA HIGHWAY 21 S, RINCON, GA 31326-5507
(912) 826-3949
(888) 810-2083
Mailing address
6162 GA HIGHWAY 21 S, RINCON, GA 31326-5507
(912) 826-3949
(888) 810-2083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788576B
—
GA
01
—
488752
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/06/2006
Last updated
01/16/2012
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