Provider Demographics
NPI:1134915895
Name:SMALL-FREEMAN, NATALIE CAROLE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:CAROLE
Last Name:SMALL-FREEMAN
Suffix:
Gender:
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 CHARLES TOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-8058
Mailing Address - Country:US
Mailing Address - Phone:404-956-9859
Mailing Address - Fax:
Practice Address - Street 1:466 CHARLES TOWNE AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-8058
Practice Address - Country:US
Practice Address - Phone:404-956-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN233295163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health