Individual provider · Type 1 NPI
Amber Nikole Freeman, PAC
Medical Physician Assistant · Fort Oglethorpe, GA
NPI number
1699045823
Active
Practice location
26 Parkway Dr
Fort Oglethorpe, GA 30742-4248
Fax (706) 956-2850
Mailing address
645 Antelope Blvd Ste 24
Red Bluff, CA 96080-2463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA22028 (CA) |
| Medical Physician Assistant | 363AM0700X | 6004 (TN) |
| Medical Physician Assistant | 363AM0700X | 9963 (GA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1699045823
Amber Nikole Freeman, PAC's National Provider Identifier is 1699045823, issued on Jan 4, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Oglethorpe, GA. The record was last updated on Mar 2, 2026.