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Individual

DR. JOHNNY LEE FARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
715 US HIGHWAY 64, MANTEO, NC 27954-9241
(252) 473-2500
(252) 473-1222
Mailing address
715 US HIGHWAY 64, MANTEO, NC 27954-9241
(252) 473-2500
(252) 473-1222

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9401185
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8931316
NC
01
9401185
MEDICAL BOARD
NC
Enumeration date
01/29/2007
Last updated
05/08/2015
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