Individual
MR. LEONARD F FREEMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2175 PARKLAKE DR NE, ATLANTA, GA 30345-2845
(770) 496-7400
Mailing address
146 REDFERN DR, SAINT SIMONS ISLAND, GA 31522-2042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015734
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053190374
STATE DRIVERS LICENSE
GA
Enumeration date
10/14/2020
Last updated
10/14/2020
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