NPI 1336531003
Tim Freeman
Practice location
- Address
- 3680 Duck Creek Rd, Lost Creek, WV 26385
- Phone
- (910) 670-4643
- Mailing address
- 3680 Duck Creek Rd, Lost Creek, WV 26385-7482
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1336531003
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Mar 2015
- Record last updated
- 4 Mar 2015
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.