Individual
JAMES MASTIN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4633 BRAMBLETON AVE STE 200, ROANOKE, VA 24018-3410
(540) 404-1111
(540) 617-0110
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
(877) 767-2310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
77879
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101242061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013988161
—
VA
01
—
P00621112
MEDICARE RAILROAD
VA
Enumeration date
01/27/2006
Last updated
03/13/2024
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