Doctor Name: | MRS. BRANDY LEIGH FARMER |
NPI Number: | 1184998742 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 17739 |
Business Practice Address: | 704 Gold Hill Rd Suite 1200 Fort Mill, SC - 297158906 |
Business Phone Number: | 7046673380 |
Business Fax Number: | 7046673381 |
Mailing Address: | Po Box 602110, CHARLOTTE |
State: | NC |
Postal Code: | 282602110 |
Phone Number: | 7046673380 |
Fax Number: | 7046673381 |
NPI Enumeration Date: | 02/29/2012 |
NPI Last Update Date: | 01/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 17739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |