Provider Demographics
NPI:1942548623
Name:FARRIER, ALFRED JUDSON (DC)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:JUDSON
Last Name:FARRIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 N 1ST ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-2446
Mailing Address - Country:US
Mailing Address - Phone:931-292-6356
Mailing Address - Fax:
Practice Address - Street 1:438 N 1ST ST
Practice Address - Street 2:SUITE A
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-2446
Practice Address - Country:US
Practice Address - Phone:931-292-6356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2962111N00000X
GACHIR009058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I359404Medicare PIN