Provider Demographics
NPI:1053345322
Name:FARRELL, JAMES JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:FARRELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:WJB DORN VAMC
Mailing Address - Street 2:6439 GARNERS FERRY ROAD
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-1639
Mailing Address - Country:US
Mailing Address - Phone:803-695-6811
Mailing Address - Fax:803-695-6745
Practice Address - Street 1:WJB DORN VAMC
Practice Address - Street 2:6439 GARNERS FERRY ROAD
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1639
Practice Address - Country:US
Practice Address - Phone:803-695-6811
Practice Address - Fax:803-695-6745
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
SC0107902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology