Individual
OTIS FREEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5764
(706) 596-5770
Mailing address
636 BUILDER DR, PHENIX CITY, AL 36869-6412
(706) 577-1865
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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