Individual
JOHN JOSEPH FARRELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-1000
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2024-00564
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
09/27/2024
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