Farmer, Roger William

Farmer, Roger William is an individual health care provider with primary practice located at 2406 Lighthouse Manor Dr , Gainesville GA 30501-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Farmer, Roger William can be contacted via phone (770) 536-4352.

Contact Information

Primary practice address
2406 Lighthouse Manor Dr Gainesville GA 30501-7401
Phone: (770) 536-4352
Fax: (770) 532-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 047898 Georgia

Profile Details

NPI number 1316948078
LBN Legal business name Farmer, Roger William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Nov 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316948078 NPPES
Georgia MEDICAID 000837988A

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