Provider Demographics
NPI:1760485403
Name:FARMER, JOSEPH ANDREW III (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANDREW
Last Name:FARMER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29622-0262
Mailing Address - Country:US
Mailing Address - Phone:864-512-6024
Mailing Address - Fax:864-512-6123
Practice Address - Street 1:2000 E GREENVILLE ST
Practice Address - Street 2:STE 3850
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1580
Practice Address - Country:US
Practice Address - Phone:864-512-6024
Practice Address - Fax:864-512-6123
Is Sole Proprietor?:No
Enumeration Date:2005-05-26
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14499207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00477276AMedicaid
SC144999Medicaid
SC110130349Medicare ID - Type UnspecifiedRAILROAD MEDICARE INDIV#
SC144999Medicaid
SCCD3151Medicare ID - Type UnspecifiedRAILROAD MEDICARE GRP#
3619Medicare PIN