Individual
HEATHER FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
545 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 299-1990
Mailing address
PO BOX 721, MAULDIN, SC 29662-0721
(864) 299-1990
(864) 299-9123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22689
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22689
SC STATE LICENSURE
SC
Enumeration date
03/27/2019
Last updated
12/07/2021
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