Individual
DR. RORY COVETTE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 N MAIN ST, ENTERPRISE, AL 36330-2563
(334) 308-9797
(334) 308-2909
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27062
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129359A
—
GA
05
—
112803
—
AL
05
—
113687
—
AL
01
—
1568671204
MEDICARE ID
AL
01
—
510-65889
BCBS OF AL - GENEVA
AL
01
—
511-30529
BCBS OF AL - HEALTHWEST
AL
01
—
515-99807
BCBS OF AL - ENTERPRISE
AL
Enumeration date
05/21/2007
Last updated
11/20/2014
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