Individual
ELIZABETH FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
15 MEDICAL DR NE, CARTERSVILLE, GA 30121-8005
(770) 386-5221
(770) 386-1128
Mailing address
15 MEDICAL DR NE, CARTERSVILLE, GA 30121-8005
(770) 386-5221
(770) 386-1128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007601
GA
225100000X
Physical Therapist
PTH3757
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000972254A
—
GA
05
—
000972254G
—
GA
01
—
P00320623
RR MEDICARE
GA
Enumeration date
07/07/2005
Last updated
08/21/2020
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