Provider Demographics
NPI:1851827190
Name:FARRELL, GEORGIA (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGIA
Middle Name:
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GEORGIA
Other - Middle Name:
Other - Last Name:WHEELDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:913 CULVER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-7141
Mailing Address - Country:US
Mailing Address - Phone:989-859-0869
Mailing Address - Fax:
Practice Address - Street 1:913 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-7141
Practice Address - Country:US
Practice Address - Phone:585-654-5432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0015946207R00000X
NY303297208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics