Individual
DONISH SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 WELLSTAR WAY STE 204, HOLLY SPRINGS, GA 30114
(470) 267-0110
(770) 999-2229
Mailing address
1120 WELLSTAR WAY STE 204, HOLLY SPRINGS, GA 30114-8929
(470) 267-0110
(770) 999-2229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
287070
NY
207Q00000X
Family Medicine Physician
Primary
80152
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04632711
—
NY
Enumeration date
04/09/2013
Last updated
10/30/2019
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