Provider Demographics
NPI:1992825889
Name:FREED, CHARLES ROGER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ROGER
Last Name:FREED
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5515 EDMONDSON PIKE
Mailing Address - Street 2:SUITE 119-E
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5871
Mailing Address - Country:US
Mailing Address - Phone:615-783-2648
Mailing Address - Fax:978-285-3016
Practice Address - Street 1:5515 EDMONDSON PIKE
Practice Address - Street 2:SUITE 119-E
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5871
Practice Address - Country:US
Practice Address - Phone:615-783-2648
Practice Address - Fax:978-285-3016
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2009-07-12
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Provider Licenses
StateLicense IDTaxonomies
TN338772084A0401X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry