Provider Demographics
NPI:1992843551
Name:FARMER, WARREN JR (BA)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:
Last Name:FARMER
Suffix:JR
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 GRATA RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-3753
Mailing Address - Country:US
Mailing Address - Phone:865-521-7479
Mailing Address - Fax:
Practice Address - Street 1:318 NANCY LYNN LN
Practice Address - Street 2:SUITE 17
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6030
Practice Address - Country:US
Practice Address - Phone:865-539-5050
Practice Address - Fax:865-839-2300
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator