Individual
MR. JUSTIN ALLEN FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(770) 645-9181
(770) 645-8455
Mailing address
240 THE ORCHARD WAY, ROSWELL, GA 30075-1055
(770) 823-4292
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10630
GA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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