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NPI Code Detail

MEDICARE: DR. GAIL FARRAR I M.D.

MEDICARE: DR. GAIL FARRAR I M.D.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician10225MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110129721OTHERMSRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649206210
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAIL FARRAR I M.D.
Provider Business Mailing Address
First Line : 1800 BEACH DR
Second Line :
City : GULFPORT
State : MS
Zip : 39507-1553
Country : US
Telephone Number : 228-897-4450
Fax Number : 228-897-4497
Provider Business Practice Location Address
First Line : 1800 BEACH DR
Second Line :
City : GULFPORT
State : MS
Zip : 39507-1553
Country : US
Telephone Number : 228-897-4450
Fax Number : 228-897-4497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 04/14/2017

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Directions to “ DR. GAIL FARRAR I M.D.” Practice Location

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