Individual
JERROD FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 BARNSLEY DR, EVANS, GA 30809-8235
(706) 945-5544
Mailing address
318 BARNSLEY DR, EVANS, GA 30809-8235
(706) 945-5544
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
058748960
GA
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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