Provider Demographics
NPI:1669446936
Name:FREEDMAN, STEVEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:FREEDMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:770-962-5056
Practice Address - Street 1:2525 CUMBERLAND PARKWAY
Practice Address - Street 2:KAISER PERMANENTE CUMBERLAND MEDICAL OFFICE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:404-365-0966
Practice Address - Fax:770-962-5056
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2011-10-19
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Provider Licenses
StateLicense IDTaxonomies
GA026855207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00343945AMedicaid
GAC59246Medicare UPIN