Individual
KIM CARLOS FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-5000
Mailing address
502 S CHURCH ST, PIEDMONT, AL 36272-2308
(256) 294-3668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN277524
GA
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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