| Matthew G Freeman Md Llc | |
|
100 Towncenter Blvd Ste 113 Tuscaloosa AL 35406-1832 | |
| (205) 409-0525 | |
| (260) 969-6023 |
| Full Name | Matthew G Freeman Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Towncenter Blvd Ste 113, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Matthew G Freeman (OWNER) |
| Authorized Official Contact | 2059132485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew G Freeman Md Llc 100 Towncenter Blvd Ste 113 Tuscaloosa AL 35406-1832 Ph: (205) 409-0525 | Matthew G Freeman Md Llc 100 Towncenter Blvd Ste 113 Tuscaloosa AL 35406-1832 Ph: (205) 409-0525 |
| NPI Number | 1992954440 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 01/26/2022 |
| Medicare PECOS PAC ID | 6002984002 |
|---|---|
| Medicare Enrollment ID | O20081003000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992954440 | NPI | - | NPPES |
| 510G700380 | Other | AL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27301 (Alabama) | Primary |
| Provider Name | Matthew G Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750482477 PECOS PAC ID: 8325141401 Enrollment ID: I20070309000326 |
| Provider Name | Randa Corley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144946245 PECOS PAC ID: 1759758220 Enrollment ID: I20221114001137 |
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