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Individual

FREDERICK E FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 MEDICAL CENTER DR, SUITE 210, HARDEEVILLE, SC 29927-3447
(843) 784-8297
(843) 784-7998
Mailing address
1010 MEDICAL CENTER DR, SUITE 210, HARDEEVILLE, SC 29927-3447
(843) 784-8297
(843) 784-7998

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
36474
SC
207Y00000X
Otolaryngology Physician
ME40530
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040014886
RAIL ROAD MEDICARE
05
043013700
FL
05
364741
SC
Enumeration date
02/28/2006
Last updated
10/28/2016
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