Organization
MATTHEW G FREEMAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW G FREEMAN MD (OWNER)
(205) 913-2485
Entity
Organization
Contact information
Practice address
100 TOWNCENTER BLVD STE 113, TUSCALOOSA, AL 35406-1832
(205) 409-0525
(260) 969-6023
Mailing address
100 TOWNCENTER BLVD STE 113, TUSCALOOSA, AL 35406-1832
(205) 409-0525
(260) 969-6023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27301
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510G700380
MEDICARE PTAN
AL
Enumeration date
09/09/2008
Last updated
01/26/2022
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