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MR. JOHN W FARRIOR PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1346257383

Individual Registrant:
MR. JOHN W FARRIOR PA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
152 N MAIN STREET  WADLEY, GA 30477 US
Tel: 478-625-7000  Fax: 478-625-8907

Contact information for business:
152 N MAIN STREET  WADLEY, GA 30477 US
Tel: 478-625-7000  Fax: 478-625-8907

Registration Information:
NPI: 1346257383
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
GA001467

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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