SearchGeorgia235Z00000X

Mavis Farmer

NPI 1164763967 · on the registry since 2013

Practice

Address
1860 Pennsylvania Ave
Mcdonough, GA 30253
Phone
(678) 462-1342
Fax
(678) 493-9464
Clinicians at this address
6

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia