Individual
CONNOR MICHAEL FARINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST # GC5110, AUGUSTA, GA 30912-0004
(706) 721-2251
Mailing address
370 FRONT ST UNIT 425, NORTH AUGUSTA, SC 29841-4355
(908) 442-5604
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DN28403
FL
Other
Enumeration date
03/09/2023
Last updated
10/05/2023
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