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Individual

MATTHEW GAINES FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 TOWNCENTER BLVD STE 113, TUSCALOOSA, AL 35406-1832
(205) 409-0525
(260) 969-6023
Mailing address
100 TOWNCENTER BLVD STE 113, TUSCALOOSA, AL 35406-1832
(205) 409-0525
(260) 969-6023

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.27301
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510I080364
PROVIDER NUMBER
AL
Enumeration date
09/26/2006
Last updated
01/26/2022
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