Provider Demographics
NPI:1770233025
Name:FARCHIONE, MARK DANIEL JR (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:DANIEL
Last Name:FARCHIONE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-281-9065
Mailing Address - Fax:
Practice Address - Street 1:3651 WHEELER RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6521
Practice Address - Country:US
Practice Address - Phone:706-651-6105
Practice Address - Fax:706-868-1041
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2025-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA105521207P00000X
FLME168769207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine