Healthcare Provider Details

I. General information

NPI: 1396747648
Provider Name (Legal Business Name): WILLIAM H. FREEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: WILLIAM H. FREEMAN M.D.

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 08/31/2020
Certification Date: 08/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CLUB LN
CONWAY AR
72034-3624
US

IV. Provider business mailing address

600 CLUB LN
CONWAY AR
72034-3624
US

V. Phone/Fax

Practice location:
  • Phone: 501-327-0110
  • Fax: 501-327-0141
Mailing address:
  • Phone: 501-327-0110
  • Fax: 501-327-0141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC6022
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: