DR. JENNIFER CORBITT FREEMAN


Address: 101 Beckett Lane, Suite 506, Fayetteville, GA 30214-7160
Phone: 6788176314

DR. JENNIFER CORBITT FREEMAN (NPI# 1689667800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689667800
Entity Type Individual
Full Name DR. JENNIFER CORBITT FREEMAN
Credential M.D.
Practice Address 101 Beckett Lane
Suite 506
Fayetteville
GA 30214-7160
Practice Telephone 6788176314
Practice Fax Number 6788176319
Mailing Telephone 6788176314
Mailing Fax Number 6788176319
Enumeration Date 2005-08-23
Last Update Date 2013-01-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 041559 GA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 000703249F 05

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Office Location

Street Address 101 BECKETT LANE
SUITE 506
City FAYETTEVILLE
State GA
Zip Code 30214-7160

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

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1962062240 Shenika Twanet Judd Specialist 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 2019-06-18
1033676358 Suzanne Lynn Washburn Specialist 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 2019-02-22
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1194203075 Dominique A Hunter Specialist 100 Hay St Fl 6, Fayetteville, NC 28301-5676 2018-08-01
1699286260 Carla Jai Simmons Specialist 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 2017-10-23
1952825838 Mary L Hill Specialist 185 Thornton Dr., Fayetteville, GA 30214 2017-08-01
1295288215 Jillian Diffenbaugh Specialist 1019 Hay St, Fayetteville, NC 28305-5315 2016-07-26
1437534633 Mark Hinton Specialist 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 2015-07-29
1841600830 Trimana LLC Specialist 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 2014-04-30
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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