Basic Information
| Provider Information | |||||||||
| NPI: | 1326093865 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FARRAR | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2102 JOHNSON RD | ||||||||
| Address2: | |||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381393506 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013093993 | ||||||||
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| Practice Location | |||||||||
| Address1: | 367 HOSPITAL BLVD | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | TN | ||||||||
| PostalCode: | 383052080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7316612000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2006 | ||||||||
| LastUpdateDate: | 07/13/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 11042 | TN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.