Provider Demographics
NPI:1649893918
Name:FARNEY, MICHAEL ALAN (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALAN
Last Name:FARNEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 CALHOUN STREET
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401
Mailing Address - Country:US
Mailing Address - Phone:843-724-2000
Mailing Address - Fax:
Practice Address - Street 1:316 CALHOUN STREET
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401
Practice Address - Country:US
Practice Address - Phone:843-724-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-21
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC83164207P00000X
FL20021207P00000X
NY322746207P00000X
SCLL83164207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine