Individual
RICHARD WARREN FARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 N SPRING ST, CLARKSVILLE, TN 37040-3240
(615) 346-9437
Mailing address
1028 THRASHER DR, CLARKSVILLE, TN 37040-1450
(240) 291-5431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C0003438
MD
363A00000X
Physician Assistant
3750
TN
363AM0700X
Medical Physician Assistant
Primary
0003438
MD
Other
Enumeration date
02/10/2006
Last updated
09/29/2021
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