Individual
MICHAEL FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
42210
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00653870
—
MS
05
—
3000497
—
TN
Enumeration date
05/17/2007
Last updated
11/16/2017
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