Freeman, Jennifer Corbitt

Freeman, Jennifer Corbitt is an sole proprietor health care provider with primary practice located at 101 Beckett Lane Suite 506, Fayetteville GA 30214-7160. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Freeman, Jennifer Corbitt can be contacted via phone (678) 817-6314.

Contact Information

Primary practice address
101 Beckett Lane Suite 506 Fayetteville GA 30214-7160
Phone: (678) 817-6314
Fax: (678) 817-6319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 041559 Georgia

Profile Details

NPI number 1689667800
LBN Legal business name Freeman, Jennifer Corbitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Jan 28th, 2013 - about 11 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 1689667800 NPPES
Georgia MEDICAID 000703249F

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