Healthcare Provider Details

I. General information

NPI: 1114913134
Provider Name (Legal Business Name): CECIL MURRAY FARRINGTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 JAKE ALEXANDER BLVD W
SALISBURY NC
28147-1220
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-637-1123
  • Fax: 704-637-1214
Mailing address:
  • Phone: 704-637-1123
  • Fax: 704-637-1214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17954
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: