Healthcare Provider Details

I. General information

NPI: 1700780251
Provider Name (Legal Business Name): ASHTON FARMER MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEDICAL PARK RD STE 103
COLUMBIA SC
29203-6517
US

IV. Provider business mailing address

2 MEDICAL PARK RD STE 103
COLUMBIA SC
29203-6517
US

V. Phone/Fax

Practice location:
  • Phone: 803-545-5775
  • Fax:
Mailing address:
  • Phone: 803-545-5775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: