Individual
KATIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 GATEWAY CORP BLVD, COLUMBIA, SC 29203-9611
(214) 368-9600
Mailing address
8117 PRESTON RD STE 800, DALLAS, TX 75225-6328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3710
TN
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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