Individual provider · Type 1 NPI

Richard Warren Farnum, PA-C

Medical Physician Assistant · Clarksville, TN

NPI number 1104899012 Active

Practice location

130 N Spring St
Clarksville, TN 37040-3240

Mailing address

1028 Thrasher Dr
Clarksville, TN 37040-1450

Other practice locations

  • 650 Joel Dr, Fort Campbell, KY 42223-5318 · (270) 798-4677

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XC0003438 (MD)
Physician Assistant 363A00000X3750 (TN)
Medical Physician Assistant Primary 363AM0700X0003438 (MD)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1104899012

Richard Warren Farnum, PA-C's National Provider Identifier is 1104899012, issued on Feb 10, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clarksville, TN. The record was last updated on Sep 29, 2021.