Provider Demographics
NPI:1912910209
Name:FARLEY, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:FARLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 RAY COVE ROAD
Mailing Address - Street 2:WNC LONG TERM CARE, INC.
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-2635
Mailing Address - Country:US
Mailing Address - Phone:828-369-6144
Mailing Address - Fax:866-253-8199
Practice Address - Street 1:1385 RAY COVE ROAD
Practice Address - Street 2:WNC LONG TERM CARE, INC.
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2635
Practice Address - Country:US
Practice Address - Phone:828-369-6144
Practice Address - Fax:866-253-8199
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC29834207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC82000Medicare UPIN