Vanessa Laquetta Freeman, PA-C
Preventive Medicine, Occupational Medicine in Fayetteville, GA. Individual provider (NPI-1).
NPI number1649934282
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1649934282
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Vanessa Laquetta Freeman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | 1166762 | FL | Yes |
Practice location
320 Dominique CtFayetteville, GA 30214-5482
Phone 770-584-5046
Mailing address
5257 Nw Torino Lakes CirPort St Lucie, FL 34986-3238
Phone 404-769-4234
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