Individual
CHRISSY LATRICE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PRESTON CT, MACON, GA 31210-5772
(478) 454-7509
Mailing address
5962 ZEBULON ROAD PMB #120, MACON, GA 31210
(478) 454-7509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07191973
GA
Other
Enumeration date
12/13/2019
Last updated
02/25/2020
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