Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 248454 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 59503 | TN |
NPI | 1184875387 |
---|---|
Provider Name | Dr. Angela Delaney Freedman |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105-3678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2008 |
Last Update Date | 25/07/2019 |