Individual
MICHAEL FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
15 NEW BERN, HATTIESBURG, MS 39402-8255
(601) 288-2190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15900
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121725
—
MS
05
—
1554171
—
LA
Enumeration date
06/15/2006
Last updated
08/20/2010
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