# DR. NATHALIE MANTILLA FARFAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972828671
- **Gender:** F
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 036140788 | IL | — |
| 208C00000X | Colon & Rectal Surgery Physician | 036140788 | IL | — |
| 208C00000X | Colon & Rectal Surgery Physician | 101399 | GA | Yes |

## Other

- **Enumeration date:** 04/06/2010
- **Last updated:** 11/06/2024