| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BRIAN LAWRENCE FARRELL | 1205332319 | 2023-02-11 |
Brian Lawrence Farrell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205332319. Registration indicates Brian Lawrence Farrell is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Foot & Ankle Surgery (Podiatrist),, ) (Podiatric Medicine & Surgery Service Providers, Podiatrist) (Podiatrist: Foot & Ankle Surgery, ) (Podiatry, ) (Podiatrist Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers) (Podiatrist, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Brian Lawrence Farrell DPM |
| Practice Office Address | 511 GORDON AVE THOMASVILLE, GA US |
| Practice Office Telephone | 2292564299 |
| Mailing Address | 511 GORDON AVE THOMASVILLE, GA 317926645 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 213ES0103X PRIMARY | Foot & Ankle Surgery (Podiatrist), Podiatric Medicine & Surgery Service Providers Podiatrist Podiatrist: Foot & Ankle Surgery Podiatry Podiatrist Foot & Ankle Surgery Podiatric Medicine & Surgery Service Providers Podiatrist | POD001492
GA |