Provider Demographics
NPI:1730266750
Name:FREEMAN, CHERYL JEAN (RN BSN)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:JEAN
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
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Mailing Address - Street 1:1880 SHIRBURN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296
Mailing Address - Country:US
Mailing Address - Phone:770-991-4812
Mailing Address - Fax:770-991-4812
Practice Address - Street 1:265 BOULEVARD NE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312
Practice Address - Country:US
Practice Address - Phone:404-730-5835
Practice Address - Fax:404-730-1633
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN040618163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse