Everson, Freddie Lee

Everson, Freddie Lee is an individual health care provider with primary practice located at 1520 Union Ave , Memphis TN 38174-0275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Everson, Freddie Lee can be contacted via phone (901) 276-2410.

Contact Information

Primary practice address
1520 Union Ave Memphis TN 38174-0275
Phone: (901) 276-2410
Fax: (901) 261-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25353 Tennessee

Profile Details

NPI number 1497728638
LBN Legal business name Everson, Freddie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497728638 NPPES
Tennessee MEDICAID 3088058

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