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NPI Code Detail

MEDICARE: ELIZABETH FARMER PT, ATC

MEDICARE:   ELIZABETH  FARMER  PT, ATC
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
1225100000XPhysical TherapistPTH3757AL
2225100000XPhysical TherapistPT007601GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00320623OTHERGARR MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1386642072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH FARMER PT, ATC
Provider Business Mailing Address
First Line : 15 MEDICAL DR NE
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30121-8005
Country : US
Telephone Number : 770-386-5221
Fax Number : 770-386-1128
Provider Business Practice Location Address
First Line : 15 MEDICAL DR NE
Second Line :
City : CARTERSVILLE
State : GA
Zip : 30121-8005
Country : US
Telephone Number : 770-386-5221
Fax Number : 770-386-1128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 08/21/2020

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Directions to “ ELIZABETH FARMER PT, ATC” Practice Location

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