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NPI Code Detail

MEDICARE: DR. WILLIAM CRAWFORD FREEMAN M.D.

MEDICARE: DR. WILLIAM CRAWFORD FREEMAN M.D.
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
12084P0800XPsychiatry Physician15148AL

General Provider Information

NPI Number : 1164462826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM CRAWFORD FREEMAN M.D.
Provider Business Mailing Address
First Line : 1040 LONGFIELD CT
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-8055
Country : US
Telephone Number : 334-288-9009
Fax Number : 334-288-9497
Provider Business Practice Location Address
First Line : 1040 LONGFIELD CT
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-8055
Country : US
Telephone Number : 334-288-9009
Fax Number : 334-288-9497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/06/2008

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