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Individual

DR. RICHARD MCCONNELL FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2901 CORPORATE PARK DR, OPELIKA, AL 36801-7283
(334) 203-1766
(334) 203-1784
Mailing address
2901 CORPORATE PARK DR, OPELIKA, AL 36801-7283
(334) 203-1766
(334) 203-1784

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5738
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000002165
AL
01
51002165
AL BCBS PROVIDER #
AL
05
528201420
AL
Enumeration date
01/11/2006
Last updated
10/24/2017
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