Healthcare Provider Details

I. General information

NPI: 1811996929
Provider Name (Legal Business Name): DONALD S FARQUHAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 OLD SHELL RD SUITE A
MOBILE AL
36608-2048
US

IV. Provider business mailing address

PO BOX 81597
MOBILE AL
36689-1597
US

V. Phone/Fax

Practice location:
  • Phone: 251-342-9928
  • Fax: 251-342-9938
Mailing address:
  • Phone: 251-342-9928
  • Fax: 251-342-9938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00007381
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: