Healthcare Provider Details

I. General information

NPI: 1851788608
Provider Name (Legal Business Name): DOUGLAS FARQUHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 PEACHTREE ST NW STE 400
ATLANTA GA
30309-2514
US

IV. Provider business mailing address

1800 PEACHTREE ST NW STE 400
ATLANTA GA
30309-2514
US

V. Phone/Fax

Practice location:
  • Phone: 404-253-3655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number90923
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: