Individual
ELIZABETH VEREEN FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 N HILLS ST, MERIDIAN, MS 39305-2643
(601) 693-9906
(601) 484-6704
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19326
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08379802
—
MS
01
—
P00326409
RR MEDICARE
MS
Enumeration date
06/22/2006
Last updated
11/06/2013
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