Individual
DR. FARNEL F BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD0000042870
TN
207Q00000X
Family Medicine Physician
245657
NY
207Q00000X
Family Medicine Physician
34253
SC
207Q00000X
Family Medicine Physician
42870
TN
208M00000X
Hospitalist Physician
Primary
34253
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509860
—
TN
05
—
3001275
—
TN
05
—
342533
—
SC
01
—
4176452
BCBS
TN
01
—
4198130
BLUE SHIELD
TN
Enumeration date
08/17/2007
Last updated
05/26/2021
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