Michelle S Freeman, MD | |
2401 Village Professional Dr S, Opelika, AL 36801-4702 | |
(334) 749-8121 | |
(334) 749-6166 |
Full Name | Michelle S Freeman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2401 Village Professional Dr S, Opelika, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326038431 | NPI | - | NPPES |
324973 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21136 (Alabama) | Primary |
Entity Name | Dothan Pediatric Clinic, P. A. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376508788 PECOS PAC ID: 0749245330 Enrollment ID: O20041123000377 |
Mailing Address | Practice Location Address |
---|---|
Michelle S Freeman, MD 2401 Village Professional Dr S, Opelika, AL 36801-4702 Ph: (334) 749-8121 | Michelle S Freeman, MD 2401 Village Professional Dr S, Opelika, AL 36801-4702 Ph: (334) 749-8121 |
Dr. Lee Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Dr S, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Brooke Taylor Haynes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Dr S, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Matthew Justice Carter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Dr S, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Chandler J Kemp, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Dr S, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Dr. Brian Christopher Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Drive, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Dr. Katherine Kern Nichols, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Pkwy, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Dr. Frank David Druhan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 Heritage Dr, Opelika, AL 36804 Phone: 334-524-8839 |