Individual
DAVID FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3758 HIGHWAY 42, LOCUST GROVE, GA 30248-3653
(678) 561-9430
(770) 914-1070
Mailing address
3758 HIGHWAY 42, LOCUST GROVE, GA 30248-3653
(678) 561-9430
(770) 914-1070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3484
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156326020A
—
GA
Enumeration date
08/03/2006
Last updated
02/06/2017
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