Organization
P FREEMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA D FREEMAN APRN, MSN, FNP-C (NURSE PRACTITIONER)
(770) 312-6484
Entity
Organization
Contact information
Practice address
2810 PEACHTREE INDUSTRIAL BLVD STE D, DULUTH, GA 30097-8142
(770) 312-6484
Mailing address
2810 PEACHTREE INDUSTRIAL BLVD STE D, DULUTH, GA 30097-8142
(770) 312-6484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0000X
Pain Management Registered Nurse
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/28/2020
Last updated
11/13/2024
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