Individual
TONY RANDALL FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3944
(866) 617-8273
Mailing address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3944
(866) 617-8273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116020890
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184887135
—
VA
01
—
541131672006
TRICARE
—
Enumeration date
07/09/2008
Last updated
10/04/2012
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