Individual
ERIC SHANE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
567 MIDDLE FORK RD, MARION, VA 24354-6120
(276) 791-3356
Mailing address
567 MIDDLE FORK RD, MARION, VA 24354-6120
(276) 791-3356
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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