Individual
DR. JASON BRENT FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2627 MILLWOOD AVE STE C, COLUMBIA, SC 29205-1273
(803) 218-9886
Mailing address
PO BOX 2632, LEXINGTON, SC 29071-2632
(803) 741-4234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3199
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523023
BCBS STATE CREDENTIAL
SC
01
—
11798381
CAQH
OH
01
—
220N9
BCBSFL PROVIDER
FL
01
—
304526
UNISON
SC
01
—
AA27709576
MEDICARE PTAN
SC
05
—
CH3199
—
SC
01
—
GK069Z
MEDICARE PTAN
FL
Enumeration date
06/08/2007
Last updated
01/14/2018
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