Individual
DR. JENNIFER CORBITT FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BECKETT LANE, SUITE 506, FAYETTEVILLE, GA 30214-7160
(678) 817-6314
(678) 817-6319
Mailing address
101 BECKETT LANE, SUITE 506, FAYETTEVILLE, GA 30214-7160
(678) 817-6314
(678) 817-6319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041559
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000703249F
—
GA
Enumeration date
08/23/2005
Last updated
01/28/2013
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