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DR. MAURICE JEROME FREEMAN D.M.D.

>> Dentist >> Dental Providers

Registrant NPI Number: 1457572513

Individual Registrant:
DR. MAURICE JEROME FREEMAN D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
708 S GRANT ST BLDG 20 FITZGERALD, GA 31750-3788 US
Tel: 229-423-9308  Fax: 229-423-9309

Contact information for business:
PO BOX 5070  FITZGERALD, GA 31750-5070 US
Tel: 229-423-9308  Fax: 229-423-9309

Registration Information:
NPI: 1457572513
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
GA010397

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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