Individual
MR. MICHAEL KEITH FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(336) 716-2255
Mailing address
WAKE FOREST UNIVERSITY HEALTH SCIEN, 1 MEDICAL CENTER BLVD., WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2018-01589
NC
Other
Enumeration date
03/22/2013
Last updated
10/17/2018
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