Provider Demographics
NPI:1093863870
Name:FREEMAN, GEORGE THOMAS JR (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:THOMAS
Last Name:FREEMAN
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 SANDRIDGE PL SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8447
Mailing Address - Country:US
Mailing Address - Phone:770-639-1082
Mailing Address - Fax:404-629-2943
Practice Address - Street 1:2201 SANDRIDGE PL SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8447
Practice Address - Country:US
Practice Address - Phone:770-639-1082
Practice Address - Fax:404-629-2943
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor