Individual
MR. RANDALL PATRICK FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 COLONIAL DR, COTTAGE A, COLUMBIA, SC 29203-6827
(803) 898-8133
Mailing address
1800 COLONIAL DR, COTTAGE A, COLUMBIA, SC 29203-6827
(803) 898-8133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
007400297
SC
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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