Individual
ELIAS THOMSA FREEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 JUSTIS ST, CHESAPEAKE, VA 23325-2516
(757) 420-8297
Mailing address
860 OMNI BLVD, NEWPORT NEWS, VA 23606-4434
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038481
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041242
ANTHEM
VA
01
—
11857
SENTARA
VA
05
—
5662044
—
VA
Enumeration date
07/28/2006
Last updated
11/19/2019
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