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NPI Code Detail

MEDICARE: WILLIAM ALEXANDER FREEMAN M.D.

MEDICARE: WILLIAM ALEXANDER 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
1207Q00000XFamily Medicine PhysicianE6260AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
35AJ27G546OTHERARMEDICARE GROUP MEMBER PTAN
45G546OTHERARMEDICARE GROUP PTAN
61982721882OTHERARMEDICARE GROUP NPI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E6260OTHERARMEDICAL LICENSE
21629230396OTHERARNPI
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629230396
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM ALEXANDER FREEMAN M.D.
Provider Business Mailing Address
First Line : 600 CLUB LN
Second Line :
City : CONWAY
State : AR
Zip : 72034-3624
Country : US
Telephone Number : 501-327-0110
Fax Number : 501-327-0141
Provider Business Practice Location Address
First Line : 600 CLUB LN
Second Line :
City : CONWAY
State : AR
Zip : 72034-3624
Country : US
Telephone Number : 501-327-0110
Fax Number : 501-327-0141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 03/07/2023

Similar Medicare Providers

1396747648 — DR. WILLIAM H. FREEMAN M.D.
Practice Location Address:
600 CLUB LN
CONWAY, AR
72034-3624
Practice Phone: 501-327-0110
Practice Fax: 501-327-0141
1922122530 — MRS. AMY M BURTON APN
Practice Location Address:
600 CLUB LN
CONWAY, AR
72034-3624
Practice Phone: 501-327-0110
Practice Fax: 501-327-0141
1982721882 — WILLIAM H FREEMAN, MD PA
Practice Location Address:
600 CLUB LN
CONWAY, AR
72034-3624
Practice Phone: 501-327-0110
Practice Fax: 501-327-0141
1245559681 — JEANNE MICHELLE CHURCHILL APN
Practice Location Address:
600 CLUB LN
CONWAY, AR
72034-3624
Practice Phone: 501-327-0110
Practice Fax: 501-327-0141
1144807488 — MRS. HALEY ELISE SZISZAK APRN, FNP-C
Practice Location Address:
600 CLUB LN
CONWAY, AR
72034-3624
Practice Phone: 501-327-0110
Practice Fax: 501-327-0141
1659340826 — DR. BILLY REID MCBAY M.D.
Practice Location Address:
655 DAVE WARD DR STE 103
CONWAY, AR
72034-7145
Practice Phone: 501-209-4040
Practice Fax: 501-205-1776

Directions to “ WILLIAM ALEXANDER FREEMAN M.D.” Practice Location

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