Individual
BRIAN LAWRENCE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
511 GORDON AVE, THOMASVILLE, GA 31792-6645
(229) 256-4299
Mailing address
511 GORDON AVE, THOMASVILLE, GA 31792-6645
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001492
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
02/11/2023
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