Provider Demographics
NPI:1235332842
Name:FARNELL, ALLISON S (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:S
Last Name:FARNELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:509 NORTH ST
Mailing Address - Street 2:BAMBERG COUNTY HOSPITAL
Mailing Address - City:BAMBERG
Mailing Address - State:SC
Mailing Address - Zip Code:29003-1330
Mailing Address - Country:US
Mailing Address - Phone:803-245-6228
Mailing Address - Fax:803-245-6213
Practice Address - Street 1:509 NORTH ST
Practice Address - Street 2:BAMBERG COUNTY HOSPITAL
Practice Address - City:BAMBERG
Practice Address - State:SC
Practice Address - Zip Code:29003-1330
Practice Address - Country:US
Practice Address - Phone:803-245-6228
Practice Address - Fax:803-245-6213
Is Sole Proprietor?:No
Enumeration Date:2007-06-09
Last Update Date:2011-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD 000Medicare UPIN