Individual
DR. TOMMY WAYNE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
98 SHORT E ST, THOMASTON, GA 30286
(706) 647-5573
(706) 647-1362
Mailing address
PO BOX 1187, THOMASTON, GA 30286
(706) 647-5573
(706) 647-1362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00175942A
—
GA
Enumeration date
12/27/2006
Last updated
07/08/2007
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