Provider Demographics
NPI:1336144468
Name:FARMER, MARGARET F (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:F
Last Name:FARMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MED TECH PKWY
Mailing Address - Street 2:STE.160
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2364
Mailing Address - Country:US
Mailing Address - Phone:423-794-5560
Mailing Address - Fax:423-975-0051
Practice Address - Street 1:301 MED TECH PKWY
Practice Address - Street 2:STE.160
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2364
Practice Address - Country:US
Practice Address - Phone:423-794-5560
Practice Address - Fax:423-975-0051
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28631208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3824535Medicaid
TN3824535Medicaid
TN103I370073Medicare PIN