Provider Demographics
NPI:1891867065
Name:FREED, CINDY MAREE (DO)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:MAREE
Last Name:FREED
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 WARD RD
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-2504
Mailing Address - Country:US
Mailing Address - Phone:706-655-3779
Mailing Address - Fax:
Practice Address - Street 1:880 WARD RD
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31830-2504
Practice Address - Country:US
Practice Address - Phone:706-655-3779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA045791207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG84447Medicare UPIN
GA511I110243Medicare PIN