Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MT202166 | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 2016-00803 | NC |
NPI | 1437411253 |
---|---|
Provider Name | Gene Freeman |
First Address | Greensboro, NC 27401-1004 |
Second Address | Greensboro, NC 27401-1004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2012 |
Last Update Date | 17/09/2021 |