Provider Demographics
NPI:1710011499
Name:FARINA, JOSEPH WILLIAM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:FARINA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 AL HIGHWAY 157 STE 100
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-1273
Mailing Address - Country:US
Mailing Address - Phone:256-736-1615
Mailing Address - Fax:256-736-1579
Practice Address - Street 1:1800 AL HIGHWAY 157 STE 100
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-1273
Practice Address - Country:US
Practice Address - Phone:256-736-1615
Practice Address - Fax:256-736-1579
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS116642084N0400X
AL121572084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0118301Medicaid
MS0118301Medicaid