Organization
DUANE FARMER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE T FARMER L.P.C. (C.E.O.)
(770) 552-0717
Entity
Organization
Contact information
Practice address
1175 CANTON ST, STE 2, ROSWELL, GA 30075-3616
(770) 552-0717
Mailing address
1175 CANTON ST, STE 2, ROSWELL, GA 30075-3616
(770) 552-0717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01876
GA
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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