Gordon Glenn Freeman MD

NPI 1083652267 - Family Medicine - 207Q00000X

NPI Details
NPI 1083652267
Gender Male
Enumeration Date 06/02/2006
Last Updated 08/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3891 HIGHWAY 78 W
SNELLVILLE GA, 30039-3932, US
Phone (770) 972-4764
Fax (770) 972-4164
Business Location
3891 HIGHWAY 78 W
SNELLVILLE GA, 30039-3932, US
Phone (770) 972-4764
Fax (770) 972-4164
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 023958
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According to our database, Dr. Gordon Glenn Freeman MD NPI is 1083652267, taxonomy code is 207Q00000X and license number is 023958, license state is located at Georgia. Gordon Glenn Freeman MD physically located at 3891 Highway 78 W, Snellville GA, 30039-3932. NPI Number Gordon Glenn Freeman MD has the Individual type.

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1083652267 NPI number is provided on an as is basis without warranty of any kind. 1083652267 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Glenn Freeman MD are for informational purposes only.