MEDICARE: DR. TRAVIS DALTON FARMER MD

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
1	2086S0105X	Surgery of the Hand (Surgery) Physician	85073	GA
2	183500000X	Pharmacist	33568	TN
3	2086S0105X	Surgery of the Hand (Surgery) Physician	BP10066100	TX
4	207XS0106X	Orthopaedic Hand Surgery Physician	85073	GA
5	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1346564234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS DALTON FARMER MD

Provider Business Mailing Address
First Line	:	210 E DERENNE AVE
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-6736
Country	:	US
Telephone Number	:	912-644-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 TOWNE PARK DR STE 200
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-5167
Country	:	US
Telephone Number	:	912-826-2533
Fax Number	:	912-826-2572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2010
Last Update Date	:	02/02/2026

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