Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 82145 | GA |
NPI | 1205270543 |
---|---|
Provider Name | Ashley Dodd Freeman |
First Address | Birmingham, AL 35249 |
Second Address | Augusta, GA 30912-6805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 05/07/2019 |