Freeman, Mark Gregory

Freeman, Mark Gregory is an individual health care provider with primary practice located at 979 E 3Rd St Suite C430, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Freeman, Mark Gregory can be contacted via phone (423) 624-6584.

Contact Information

Primary practice address
979 E 3Rd St Suite C430 Chattanooga TN 37403-2136
Phone: (423) 624-6584
Fax: (423) 624-6588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2005-00744 North Carolina
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 37747 Tennessee

Profile Details

NPI number 1780667865
LBN Legal business name Freeman, Mark Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 22nd, 2011 - about 13 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 1780667865 NPPES
North Carolina MEDICAID 5901023
North Carolina MEDICAID N0074A

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