Individual
FARESA Z WERAGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 420, MARIETTA, GA 30068-4424
(404) 256-2525
(404) 845-4720
Mailing address
5670 PEACHTREE DUNWOODY RD, STE 8810, ATLANTA, GA 30342-1699
(404) 256-2525
(404) 845-4720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
066682
GA
207RC0000X
Cardiovascular Disease Physician
Primary
066682
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162066A
—
GA
05
—
003162066B
—
GA
05
—
003162066C
—
GA
Enumeration date
04/23/2009
Last updated
02/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us