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NPI Code Detail

MEDICARE: MR. FREDDIE N. KOJIMA ANP-BC

MEDICARE:  MR. FREDDIE N. KOJIMA  ANP-BC
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
1363LA2200XAdult Health Nurse Practitioner14675TN

General Provider Information

NPI Number : 1437462033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FREDDIE N. KOJIMA ANP-BC
Provider Business Mailing Address
First Line : 129 FRANK L DIGGS DR
Second Line :
City : CLINTON
State : TN
Zip : 37716-6953
Country : US
Telephone Number : 865-647-3320
Fax Number : 865-647-3329
Provider Business Practice Location Address
First Line : 129 FRANK L DIGGS DR
Second Line :
City : CLINTON
State : TN
Zip : 37716-6953
Country : US
Telephone Number : 865-647-3320
Fax Number : 865-647-3329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2010
Last Update Date : 07/27/2012

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Directions to “ MR. FREDDIE N. KOJIMA ANP-BC” Practice Location

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