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NPI Code Detail

MEDICARE: DAVID FARMER PA-C

MEDICARE:   DAVID  FARMER  PA-C
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
1363AM0700XMedical Physician Assistant3484GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619985041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID FARMER PA-C
Provider Business Mailing Address
First Line : 3758 HIGHWAY 42
Second Line :
City : LOCUST GROVE
State : GA
Zip : 30248-3653
Country : US
Telephone Number : 678-561-9430
Fax Number : 770-914-1070
Provider Business Practice Location Address
First Line : 3758 HIGHWAY 42
Second Line :
City : LOCUST GROVE
State : GA
Zip : 30248-3653
Country : US
Telephone Number : 678-561-9430
Fax Number : 770-914-1070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 02/06/2017

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Directions to “ DAVID FARMER PA-C” Practice Location

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