Individual
DR. GIST HENRY FARR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 S PINE ST APT E, SPARTANBURG, SC 29302-2712
(864) 582-4792
Mailing address
410 S PINE ST APT E, SPARTANBURG, SC 29302-2712
(864) 582-4792
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
5363
SC
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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