MEDICARE: JOI FARLOUGH-MATTHEWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	171W00000X	Contractor

General Provider Information

NPI Number	:	1396522488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOI FARLOUGH-MATTHEWS

Provider Business Mailing Address
First Line	:	100 WINDROSE TRCE
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-8313
Country	:	US
Telephone Number	:	404-840-6596
Fax Number	:	470-558-2904

Provider Business Practice Location Address
First Line	:	2009 WARM SPRINGS RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-7931
Country	:	US
Telephone Number	:	404-840-5496
Fax Number	:	470-558-2904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2023
Last Update Date	:	09/12/2023

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Directions to “ JOI FARLOUGH-MATTHEWS ” Practice Location

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