| Freedom Family Medical Clinic Pllc | |
|
216 W Pleasant Ave Covington TN 38019-2538 | |
| (901) 664-2502 | |
| Not Available |
| Full Name | Freedom Family Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 216 W Pleasant Ave, Covington, Tennessee |
| Authorized Official Name and Position | Joseph Andrew Freeman (OWNER/CEO) |
| Authorized Official Contact | 9015699974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Family Medical Clinic Pllc 216 W Pleasant Ave Covington TN 38019-2538 Ph: (901) 664-2502 | Freedom Family Medical Clinic Pllc 216 W Pleasant Ave Covington TN 38019-2538 Ph: (901) 664-2502 |
| NPI Number | 1821864653 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 8820448707 |
|---|---|
| Medicare Enrollment ID | O20231219003146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821864653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Andrew Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194179101 PECOS PAC ID: 9133457880 Enrollment ID: I20190820001703 |
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