Doctor Name: | TAMMY DANIELLE FARMER |
NPI Number: | 1104024025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | RN140478 |
Business Practice Address: | 801 Austin Dr Demorest, GA - 305354513 |
Business Phone Number: | 7067543287 |
Business Fax Number: | 7057543518 |
Mailing Address: | Po Box 657, DEMOREST |
State: | GA |
Postal Code: | 305350657 |
Phone Number: | 7067543287 |
Fax Number: | 7067543518 |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 04/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN140478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |