Individual
SUSAN E FREEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 FOX RD, KNOXVILLE, TN 37922-3369
(865) 690-9467
(865) 637-5057
Mailing address
123 FOX RD, KNOXVILLE, TN 37922-3369
(865) 690-9446
(865) 637-5057
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD0000024093
TN
207NS0135X
Procedural Dermatology Physician
MD0000024093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q053674
—
TN
Enumeration date
04/25/2006
Last updated
08/04/2020
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