Individual
CLARISSA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4480 RIVERSIDE DR STE 19, MACON, GA 31210-1363
(478) 219-3313
Mailing address
PO BOX 5703, FORSYTH, GA 31029-5703
(478) 219-3313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
03/05/2025
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