Provider Demographics
NPI:1760286108
Name:FREEMAN, SINOLLA M
Entity type:Individual
Prefix:
First Name:SINOLLA
Middle Name:M
Last Name:FREEMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:GUYTON
Mailing Address - State:GA
Mailing Address - Zip Code:31312-0302
Mailing Address - Country:US
Mailing Address - Phone:803-398-9716
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 302
Practice Address - Street 2:
Practice Address - City:GUYTON
Practice Address - State:GA
Practice Address - Zip Code:31312-0302
Practice Address - Country:US
Practice Address - Phone:803-398-9716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide