Doctor Name: | SAMANTHA E FARNSWORTH |
NPI Number: | 1851305965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 375-T |
Business Practice Address: | 108 S Main St Woodsfield, OH - 437931023 |
Business Phone Number: | 7404721330 |
Business Fax Number: | 7404721336 |
Mailing Address: | 1106 Colegate Dr, MARIETTA |
State: | OH |
Postal Code: | 457501323 |
Phone Number: | 7403741413 |
Fax Number: | 7403765078 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 375-T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |