Phillip Shannon Farris in Decatur - Physician Assistant
Phillip Shannon Farris - NPI 1104904903
Phillip Shannon Farris is a Physician Assistant in Decatur, Alabama. Phillip Shannon Farris practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Phillip Shannon Farris is 1104904903. The last update date is 2009-04-08.
Phillip Shannon Farris's current location address is 2404 11th St Se, Decatur, Alabama. You can contact this provider via phone number 2563532018. The mailing address for Phillip Shannon Farris is 2404 11th St Se, Decatur, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Shannon Farris |
|---|---|
| Address | 2404 11th St Se, Decatur, Alabama |
| Phone Number | 2563532018 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C, MPAS |
NPI Number Detail
| NPI Number | 1104904903 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2009-04-08 |
Provider Mailing Address Detail
| Address | 2404 11th St Se |
|---|---|
| City | Decatur |
| State | Alabama (AL) |
| Post Code | 356014598 |
| Phone Number | 2563532018 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-262 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA-262 | AL | ALABAMA LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Phillip Shannon Farris by the Centers for Medicare & Medicaid Services?
The Phillip Shannon Farris has been assigned the NPI (National Provider Identifier) 1104904903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Phillip Shannon Farris?
The Phillip Shannon Farris is situated at 2404 11Th St Se, in the city of Decatur, state of AL, with the zip code 356014598.
What is the Phillip Shannon Farris's specialty and taxonomy code?
The Phillip Shannon Farris's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104904903 to Phillip Shannon Farris?
The Centers for Medicare & Medicaid Services originally issued the 1104904903 to Phillip Shannon Farris on 2006-11-01.
When was the information related to Phillip Shannon Farris most recently updated or refreshed?
The details pertaining to the Phillip Shannon Farris, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-08.