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Contact Information

MICHAEL K FARRIS, MD
557 BROOKDALE DR
STATESVILLE, NC28677-4107
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MICHAEL K FARRIS · (Male)

NPI # 1063754430
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2013
Last updated 10/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2018-01589
Hospital affiliation(s)
  • NORTH CAROLINA BAPTIST HOSPITAL - (Acute Care)
    MEDICAL CENTER BOULEVARD
    WINSTON-SALEM, NC 27157
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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