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Individual

ERICA M FARRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
(770) 422-1372
Mailing address
6001 PROFESSIONAL PKWY, DOUGLASVILLE, GA 30134-5631
(770) 422-1372

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004933
GA

Other

Enumeration date
11/15/2006
Last updated
11/06/2019
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