Provider Demographics
NPI:1841238235
Name:FARBER, BOBBI A (MD)
Entity Type:Individual
Prefix:DR
First Name:BOBBI
Middle Name:A
Last Name:FARBER
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 7217
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-7217
Mailing Address - Country:US
Mailing Address - Phone:706-322-6646
Mailing Address - Fax:706-322-2891
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:STE 101A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6802
Practice Address - Country:US
Practice Address - Phone:706-322-6646
Practice Address - Fax:706-322-2891
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030994207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009941464Medicaid
GA000377198Medicaid
GA52247699007OtherBCBS PPO
AL60047381OtherBLUE CROSS BLUE SHIELD
GAA03717Medicare UPIN
GA52247699007OtherBCBS PPO
GAP00389472OtherRAILROAD MEDICARE
GA000377198NMedicaid