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Individual

DR. PETER FREDERICK FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 235-6435
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(877) 498-4490

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.138849
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35.138849
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
2023-01264
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0468059
OH
05
1205299708
NC
Enumeration date
04/01/2016
Last updated
08/24/2023
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