MEDICARE: MARK T. FREEMAN

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	111N00000X	Chiropractor	2371	NC

General Provider Information

NPI Number	:	1053657700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK T. FREEMAN

Provider Business Mailing Address
First Line	:	365 LILEDOUN RD
Second Line	:
City	:	TAYLORSVILLE
State	:	NC
Zip	:	28681-2450
Country	:	US
Telephone Number	:	828-632-0044
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 LILEDOUN RD
Second Line	:
City	:	TAYLORSVILLE
State	:	NC
Zip	:	28681-2450
Country	:	US
Telephone Number	:	828-632-0044
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MARK T. FREEMAN SR.
Credential	:	DC
Telephone Number	:	828-632-0044

Provider Enumeration Date	:	12/28/2012
Last Update Date	:	12/28/2012

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Directions to “MARK T. FREEMAN ” Practice Location

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