| Douglas Farman Md Llc | |
|
310 Hospital Dr Ste 320 Macon GA 31217-8027 | |
| (478) 750-7780 | |
| (478) 750-7756 |
| Full Name | Douglas Farman Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Hospital Dr Ste 320, Macon, Georgia |
| Authorized Official Name and Position | Amanda Hardy (OFFICE MANAGER) |
| Authorized Official Contact | 4787507780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Farman Md Llc 310 Hospital Dr Ste 320 Macon GA 31217-8027 Ph: () - | Douglas Farman Md Llc 310 Hospital Dr Ste 320 Macon GA 31217-8027 Ph: (478) 750-7780 |
| NPI Number | 1114369865 |
|---|---|
| Provider Enumeration Date | 07/23/2013 |
| Last Update Date | 07/23/2013 |
| Medicare PECOS PAC ID | 4789825159 |
|---|---|
| Medicare Enrollment ID | O20130726000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114369865 | NPI | - | NPPES |
| 00380179D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22755 (Georgia) | Primary |
| Provider Name | Douglas P Farman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144310954 PECOS PAC ID: 3971699091 Enrollment ID: I20071019000276 |
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