Individual
AMEEN FAREED PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(919) 966-1072
(919) 966-0290
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 634-7070
(919) 966-0290
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
200700295
NC
207RI0011X
Interventional Cardiology Physician
Primary
O66617
GA
Other
Enumeration date
05/22/2007
Last updated
01/07/2022
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