Healthcare Provider Details

I. General information

NPI: 1740442284
Provider Name (Legal Business Name): DARREN SCOTT FREEMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 CHILDERS STREET
LAMAR AR
72836
US

IV. Provider business mailing address

PO BOX 130
RATCLIFF AR
72951-0130
US

V. Phone/Fax

Practice location:
  • Phone: 479-885-3966
  • Fax: 479-885-3967
Mailing address:
  • Phone: 479-635-5300
  • Fax: 479-635-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-6180
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: