# FARBAC MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265140057
- **Authorized official:** DR. FARNEL BACKER MD (OWNER)
- **Authorized official phone:** (843) 819-2926

## Contact information

- **Practice address:** 3372 LAURENS RD, GREENVILLE, SC 29607-5236
- **Practice address phone:** (843) 819-2926
- **Mailing address:** 336 SCOTCH ROSE LN, GREER, SC 29650-5267
- **Mailing address phone:** (631) 839-2573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2022
- **Last updated:** 11/09/2022