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Individual

AMY DIANE FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2400 PATTERSON ST, SUITE 319, NASHVILLE, TN 37203-1562
(615) 986-1256
(615) 383-0853
Mailing address
2021 CHURCH ST, STE 200, NASHVILLE, TN 37203-2087
(615) 324-1600
(615) 284-2003

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1751
TN
363AS0400X
Surgical Physician Assistant
Primary
1751
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1516056
TN
Enumeration date
10/05/2009
Last updated
10/10/2016
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