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Contact Information

LARRY S FREEMAN JR, ARRT (R), CNMT
JAMES H. QUILLEN VA MEDICAL CENTER
MOUNTAIN HOME, TN37684
 Phone: 423-926-1171
 Fax: 423-979-3414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
 

Nuclear Medicine Technology Radiologic Technologist

2471N0900X
Indicates primary specialty

NPI Profile & details for LARRY S FREEMAN JR · (Male)

NPI # 1144650516
Status Active
Credentials ARRT (R), CNMT
Entity Individual
Enumeration date 11/20/2013
Last updated 11/20/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 037775
  • MN License # 337987
  • TN License # 526609
  • GA Other 037775 NUCLEAR MEDICINE TECHNOLOGY CERTIFICATION BOARD (NMTCB), NATIONAL CERTIFICATION
  • MN Other 337987 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST (ARRT), NATIONAL CERTIFICATION
  • TN Other MDX0000008167 CERTIFIED MEDICAL X-RAY TECHNOLOGIST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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