Samuel Joseph Freeman
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Toccoa, GA
NPI 1134895634 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1134895634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 030947 (GA)
- Practice address
- 1330 Big a Rd
Toccoa, GA 30577-6013 - Phone
- (706) 886-3119
- NPI assigned
- Aug 17, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030947 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JSB Health, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 030947 | GA | Yes |
Addresses
Primary practice location
1330 Big a Rd
Toccoa, GA 30577-6013
Mailing address
1330 Big a Rd
Toccoa, GA 30577-6013
Phone (706) 886-3119
Other providers in Toccoa, GA
- Kimberly Beecher Elrod
- Family Eye Care of Toccoa
- Louis R Fernandez
- Flexx Sports & Rehab Physical Therapy Inc
- Darah Flores-Nieves
- Larry Fritchman
- Victoria Fuller
- Natasha Garritson
- Stephen Garst
- Jennifer Adams Gastley
All providers in Toccoa, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.