Provider Demographics
NPI:1174147870
Name:FREEDOM MEDICAL SERVICES PLLC
Entity type:Organization
Organization Name:FREEDOM MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALBERTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-401-6355
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-0339
Mailing Address - Country:US
Mailing Address - Phone:931-842-0326
Mailing Address - Fax:931-886-1556
Practice Address - Street 1:1203 LAUREL SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-1445
Practice Address - Country:US
Practice Address - Phone:931-842-0326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service