Organization
FREEDMAN CLINIC OF INTERNAL MEDICINE, LLP
Active
Other names
FREEDMAN PERDUE & GODLEY & MORRISON PTR
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS HILL TERRELL (EHR SUPERVISOR)
(318) 445-9331
Entity
Organization
Contact information
Practice address
176 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2493
(318) 445-9331
(318) 619-6899
Mailing address
PO BOX 13030, ALEXANDRIA, LA 71315-3030
(318) 445-9331
(318) 619-6899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111147
—
LA
Enumeration date
10/31/2005
Last updated
09/28/2020
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