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Individual
MR. MARC RANDOLPH FARROW
Active
Individual
MR. MARC RANDOLPH FARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P5999
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079PX
BCBS
NC
01
—
7406746
AETNA
NC
Enumeration date
12/01/2005
Last updated
10/25/2022
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