Provider Demographics
NPI:1447243142
Name:FARROW, JULIE ANN (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:FARROW
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:PO BOX 2442
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31902-2442
Mailing Address - Country:US
Mailing Address - Phone:706-782-3100
Mailing Address - Fax:706-782-6897
Practice Address - Street 1:563 MOUNTAIN CITY RD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525-3072
Practice Address - Country:US
Practice Address - Phone:706-960-9533
Practice Address - Fax:706-782-0465
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4683207V00000X
NC2012-00907207V00000X
GA83418207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC6438A194OtherMEDICARE PTAN
NC171PKOtherBLUE CROSS
NCNC6438A194OtherPTAN