MEDICARE: DR. ALISON B. FREELY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	175308	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134196132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISON B. FREELY D.O.

Provider Business Mailing Address
First Line	:	2902 HYBART ST
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5907
Country	:	US
Telephone Number	:	672-575-3682
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 NORMANDY DRIVE
Second Line	:	#4-1830
City	:	FORT LIBERTY
State	:	NC
Zip	:	28307
Country	:	US
Telephone Number	:	910-643-2561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	01/05/2024

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