Provider Demographics
NPI:1184624587
Name:FREEMAN, MEGAN REBEKAH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:REBEKAH
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:160 SPALDING CREEK CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-1176
Mailing Address - Country:US
Mailing Address - Phone:404-459-1093
Mailing Address - Fax:404-851-8610
Practice Address - Street 1:1000 JOHNSON FERRY RD NE
Practice Address - Street 2:NORTHSIDE HOSPITAL DEPARTMENT OF PHARMACY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1606
Practice Address - Country:US
Practice Address - Phone:404-459-1093
Practice Address - Fax:404-851-8610
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA020860183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy