Provider Demographics
NPI:1174501704
Name:CASH, TED FREEMON (MD)
Entity Type:Individual
Prefix:DR
First Name:TED
Middle Name:FREEMON
Last Name:CASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:808 SCHENCK ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3934
Mailing Address - Country:US
Mailing Address - Phone:704-484-3647
Mailing Address - Fax:704-484-3260
Practice Address - Street 1:5009 FALLSTON RD
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:NC
Practice Address - Zip Code:28090-9585
Practice Address - Country:US
Practice Address - Phone:704-484-3647
Practice Address - Fax:704-484-3260
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32662207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7921578Medicaid
NC2140610EMedicare PIN
NC7921578Medicaid