Individual
FADI AHMAD HIJAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2032 WYNNTON ROAD SUITE A, COLUMBUS, GA 31906-2483
(706) 322-8820
(706) 322-8850
Mailing address
6500 WHITTLESEY BLVD #220, COLUMBUS, GA 31909-2483
(607) 207-7631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
66501
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112813A
—
GA
Enumeration date
10/18/2006
Last updated
09/04/2012
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