Individual
DR. LARRY WAYNE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-7710
(336) 713-7701
Mailing address
1004 WESSYNGTON RD, WINSTON SALEM, NC 27104-1232
(336) 768-6888
(336) 713-7701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
343
NC
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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