Most Relevant Information
Provider Data
| NPI Number: | 1003357948 |
| Provider Name: | KEITH FREEMAN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2017 |
| Last Updated: | 07/20/2020 |
Provider Practice Location
10 ENTERPRISE BLVD STE 110
GREENVILLE
SC
296153534
Practice Location Phone/Fax
| Phone: | 8643650200 |
| Fax: |
Provider Mailing Location
8 LASSO LN
TAYLORS
SC
296876085
Provider Mailing Phone/Fax
| Phone: | 8645511342 |
| Fax: |