Basic Information
Provider Information
NPI: 1780884700
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCFARLAND
FirstName: ALICIA
MiddleName: DAWKINS
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 CLEMSON RD
Address2:  
City: COLUMBIA
State: SC
PostalCode: 292294341
CountryCode: US
TelephoneNumber: 8037886146
FaxNumber: 8034620312
Practice Location
Address1: 2318A SUNSET BLVD
Address2:  
City: WEST COLUMBIA
State: SC
PostalCode: 291694716
CountryCode: US
TelephoneNumber: 8037969200
FaxNumber: 8034620312
Other Information
ProviderEnumerationDate: 07/18/2007
LastUpdateDate: 07/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X29907SCY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home