NPI 1144650516

Larry Steven Freeman, ARRTRCNMT

Practitioner Radiologic Technologist Mountain Home, TN

Practice location

Address: James H. Quillen VA Medical Center, Mountain Home, TN 37684
Phone: (423) 926-1171
Fax: (423) 979-3414
Mailing address: 2702 Windwood Dr, Johnson City, TN 37604-5958

Registered specialties (3)

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 526609 (TN)

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Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 337987 (MN)

Nuclear Medicine Technology Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471N0900X Licence 037775 (GA)

Registry record

NPI: 1144650516
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2013
Record last updated: 20 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.