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Individual

WILLIAM ALEXANDER FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 CLUB LN, CONWAY, AR 72034-3624
(501) 327-0110
(501) 327-0141
Mailing address
600 CLUB LN, CONWAY, AR 72034-3624
(501) 327-0110
(501) 327-0141

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E6260
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629230396
NPI
AR
05
188405001
AR
01
1982721882
MEDICARE GROUP NPI
AR
01
5AJ27G546
MEDICARE GROUP MEMBER PTAN
AR
01
5G546
MEDICARE GROUP PTAN
AR
01
E6260
MEDICAL LICENSE
AR
Enumeration date
06/25/2008
Last updated
03/07/2023
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