Organization
FREEDOM MEDICAL SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F TALLEY III (PRESIDENT & CEO)
(678) 817-7281
Entity
Organization
Contact information
Practice address
49B HUDSON PLZ, FAYETTEVILLE, GA 30214-1658
(678) 817-7281
(678) 817-7282
Mailing address
PO BOX 142905, 49-B HUDSON PLAZA, FAYETTEVILLE, GA 30214-6523
(678) 817-7281
(678) 817-7282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52048763
BLUE CROSS & BLUE SHIELD
GA
Enumeration date
05/01/2007
Last updated
04/20/2008
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