Individual
MARTHA FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-7011
(912) 435-7037
Mailing address
1061 HARMON AVE, FT. STEWART, GA 31313
(912) 435-7011
(912) 435-7037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN139963
GA
163WC0400X
Case Management Registered Nurse
Primary
RN139963
GA
163WM0705X
Medical-Surgical Registered Nurse
RN139963
GA
Other
Enumeration date
09/04/2014
Last updated
12/18/2024
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