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Individual

MONICA DIANE FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
170 AMENDMENT AVE, ROCK HILL, SC 29732-3073
(803) 324-7607
Mailing address
2685 ADEN AVE, GASTONIA, NC 28054-0262
(704) 300-6013

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22655
SC
363LF0000X
Family Nurse Practitioner
Primary
22655
SC

Other

Enumeration date
03/22/2019
Last updated
03/22/2019
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