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NPI Code Detail

MEDICARE: KATHERINE ELIZABETH ROBINSON-FREEMAN M.D.

MEDICARE: KATHERINE ELIZABETH ROBINSON-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
1207N00000XDermatology PhysicianMD73448TN

General Provider Information

NPI Number : 1053990432
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ELIZABETH ROBINSON-FREEMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : JACKSON
State : TN
Zip : 38302-0400
Country : US
Telephone Number : 731-423-8697
Fax Number : 731-423-2073
Provider Business Practice Location Address
First Line : 68 EXETER RD
Second Line :
City : JACKSON
State : TN
Zip : 38305-1829
Country : US
Telephone Number : 731-422-0213
Fax Number : 731-868-4871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 11/21/2025

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