Provider Demographics
NPI:1801952486
Name:FREEMAN, JAMES M (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 71906
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31708-1906
Mailing Address - Country:US
Mailing Address - Phone:229-312-7600
Mailing Address - Fax:229-312-7605
Practice Address - Street 1:803 N JEFFERSON ST
Practice Address - Street 2:SUITE 5
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-2373
Practice Address - Country:US
Practice Address - Phone:229-312-7600
Practice Address - Fax:229-312-7605
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0087642083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000158463BMedicaid
GAD45380Medicare UPIN
GA000158463BMedicaid