Provider Demographics
NPI:1972586287
Name:FARWELL, SUSAN A (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:A
Last Name:FARWELL
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:658 MOSS DR
Mailing Address - Street 2:CLEGHORN
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-6967
Mailing Address - Country:US
Mailing Address - Phone:828-288-6992
Mailing Address - Fax:828-288-6992
Practice Address - Street 1:45 E MILLS ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722
Practice Address - Country:US
Practice Address - Phone:828-894-8213
Practice Address - Fax:828-894-5775
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC101949363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical