Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 200300972 | NC |
N | 208200000X | Surgeon | 200300972 | NC |
N | 208600000X | Surgeon | 200300972 | NC |
N | 2086S0102X | Surgical Critical Care | 200300972 | NC |
NPI | 1518942648 |
---|---|
Provider Name | Alan Christopher Farney |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 12/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10019486 | (05) | VA |
1343H | BCBS (01) | |
220207000 | (05) | WV |
46372 | PARTNERS (01) | |
7436672 | AETNA (01) | |
891343H | (05) | NC |
C8202 | MEDCOST (01) | |
G47457 | (02) |