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Individual

JOHN CARSON FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2046 GREENVALE LN, HOOVER, AL 35216-4504
(205) 824-2900
(205) 824-2999
Mailing address
2046 GREENVALE LN, HOOVER, AL 35216-4504
(205) 824-2900
(205) 824-2999

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4566
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4566
STATE LICENSE-ALABAMA
AL
Enumeration date
09/25/2006
Last updated
07/08/2007
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