| Dr Johnny Lee Farrow, MD | |
|
715 Us Highway 64, Manteo, NC 27954-9241 | |
| (252) 473-2500 | |
| (252) 473-1222 |
| Full Name | Dr Johnny Lee Farrow |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 715 Us Highway 64, Manteo, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891831038 | NPI | - | NPPES |
| 8931316 | Medicaid | NC | |
| 9401185 | Other | NC | MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9401185 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Albemarle Physician Services - Sentara Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942443130 PECOS PAC ID: 8729139852 Enrollment ID: O20090630000446 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Entity Name | Surf Pediatrics And Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609058056 PECOS PAC ID: 8527207927 Enrollment ID: O20130614000610 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnny Lee Farrow, MD 715 Us Highway 64, Manteo, NC 27954-9241 Ph: (252) 473-2500 | Dr Johnny Lee Farrow, MD 715 Us Highway 64, Manteo, NC 27954-9241 Ph: (252) 473-2500 |
Dr. David Ryan Worthen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Amanda St, Manteo, NC 27954 Phone: 252-473-3478 Fax: 252-473-3600 | |
Ann C. Sumners, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 604 Amanda St, Manteo, NC 27954 Phone: 252-473-3478 Fax: 252-473-3600 | |
Walter L Holton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 604 Amanda St, Manteo, NC 27954 Phone: 252-473-3478 |