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Individual

DR. MARK GREGORY FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2005-00744
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
37747
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5901023
NC
05
N0074A
SC
Enumeration date
11/22/2005
Last updated
03/22/2011
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