Provider Demographics
NPI:1780714121
Name:THE FREEDMAN GROUP
Entity type:Organization
Organization Name:THE FREEDMAN GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:770-541-7401
Mailing Address - Street 1:1950 SPECTRUM CIR SE
Mailing Address - Street 2:SUITE B 316
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8479
Mailing Address - Country:US
Mailing Address - Phone:770-541-7401
Mailing Address - Fax:
Practice Address - Street 1:1950 SPECTRUM CIR SE
Practice Address - Street 2:SUITE B 316
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8479
Practice Address - Country:US
Practice Address - Phone:770-541-7401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA71261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation