Provider Demographics
NPI:1538290374
Name:FREEMAN, STEVEN EARL (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:EARL
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:764 SACO LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3880
Mailing Address - Country:US
Mailing Address - Phone:864-855-5525
Mailing Address - Fax:864-855-5440
Practice Address - Street 1:764 SACO LOWELL RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3880
Practice Address - Country:US
Practice Address - Phone:864-855-5525
Practice Address - Fax:864-855-5440
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18695207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC186952Medicaid
SC186952Medicaid
SCG637868065Medicare PIN
SC186952Medicaid