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NPI Code Detail

MEDICARE: FARBAC MEDICAL GROUP

MEDICARE: FARBAC MEDICAL GROUP
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
1207QA0505XAdult Medicine Physician

General Provider Information

NPI Number : 1265140057
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARBAC MEDICAL GROUP
Provider Business Mailing Address
First Line : 336 SCOTCH ROSE LN
Second Line :
City : GREER
State : SC
Zip : 29650-5267
Country : US
Telephone Number : 631-839-2573
Fax Number :
Provider Business Practice Location Address
First Line : 3372 LAURENS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-5236
Country : US
Telephone Number : 843-819-2926
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. FARNEL BACKER
Credential : MD
Telephone Number : 843-819-2926
Provider Enumeration Date : 11/09/2022
Last Update Date : 11/09/2022

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Directions to “FARBAC MEDICAL GROUP ” Practice Location

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