Provider Demographics
NPI:1366558413
Name:JONES-FREEMAN, VALERIE TERESA (MD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:TERESA
Last Name:JONES-FREEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 CHARTER BLVD
Mailing Address - Street 2:SUITE #306
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-4854
Mailing Address - Country:US
Mailing Address - Phone:478-757-9705
Mailing Address - Fax:478-757-9365
Practice Address - Street 1:420 CHARTER BLVD
Practice Address - Street 2:STE 306
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210
Practice Address - Country:US
Practice Address - Phone:478-757-9705
Practice Address - Fax:478-757-9365
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA032926207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1124049168OtherNPI WE CARE MEDICAL PRACT
GA000426819HMedicaid
GA1124049168OtherNPI WE CARE MEDICAL PRACT
E74165Medicare UPIN