Organization
DOUGLAS FARMAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HARDY (OFFICE MANAGER)
(478) 750-7780
Entity
Organization
Contact information
Practice address
310 HOSPITAL DR STE 320, MACON, GA 31217-8027
(478) 750-7780
(478) 750-7756
Mailing address
310 HOSPITAL DR STE 320, MACON, GA 31217-8027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00380179D
—
GA
Enumeration date
07/23/2013
Last updated
07/23/2013
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