Individual
DR. JOHN EDWARD FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2200 GULLICK AVE, WINN ARMY COMMUNITY HOSPITAL, BLDG 816, FORT STEWART, GA 31314-5674
(770) 862-6519
Mailing address
2 OLEANDER ST, HILTON HEAD ISLAND, SC 29928-5502
(770) 862-6519
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000415324A
—
GA
Enumeration date
11/06/2006
Last updated
05/17/2010
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