Si'ara Washington Farris, ATC, LMT is a
Specialist/technologist - Athletic Trainer based in Lithonia, Georgia. Si'ara Washington Farris is licensed to practice in Georgia (license number AT003870) and her current practice location is
564 Hillandale Park Dr, Lithonia, Georgia. She can be reached at her office (for appointments etc.) via phone at
(843) 718-7536.
NPI number for Si'ara Washington Farris is 1205442472 and her current mailing address is 564 Hillandale Park Dr, Lithonia, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205442472.
Healthcare Provider's Profile
Full Name | Si'ara Washington Farris |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 564 Hillandale Park Dr, Lithonia, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205442472
- Provider Enumeration Date: 09/22/2020
- Last Update Date: 09/22/2020
Medical Identifiers
Medical identifiers for Si'ara Washington Farris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205442472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 9454 (South Carolina) | Secondary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT003870 (Georgia) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 1418 (South Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Si'ara Washington Farris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Si'ara Washington Farris, ATC, LMT 564 Hillandale Park Dr, Lithonia, GA 30058-8833 Ph: (843) 718-7536 | Si'ara Washington Farris, ATC, LMT 564 Hillandale Park Dr, Lithonia, GA 30058-8833 Ph: (843) 718-7536 |
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