Individual
MR. CHADRICK KORTEZ FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
4284 LOMAC ST, MONTGOMERY, AL 36106
(334) 272-6062
Mailing address
4284 LOMAC ST, MONTGOMERY, AL 36106-3604
(334) 272-6062
(334) 272-6019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-104187
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198240
—
AL
01
—
511-89954
BLUECROSS BLUESHIELD OF ALABAMA
AL
Enumeration date
11/13/2016
Last updated
06/15/2018
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