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NPI Code Detail

MEDICARE: KIMM FREEMAN

MEDICARE: KIMM 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
11835P1200XPharmacotherapy PharmacistRPH023600GA
21835P1400XPain Management PharmacistRPH023600GA

General Provider Information

NPI Number : 1093642514
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMM FREEMAN
Provider Business Mailing Address
First Line : 7092 ROSELAKE CIR
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30134-1683
Country : US
Telephone Number : 404-365-0966
Fax Number :
Provider Business Practice Location Address
First Line : 750 TOWNPARK LN NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-5824
Country : US
Telephone Number : 404-365-0966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ KIMM FREEMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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