Individual
DR. FARAH A FATANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5415 SUGARLOAF PKWY 1108, #5853, LAWRENCEVILLE, GA 30043
(678) 505-1069
Mailing address
722 COLLINS HILL RD STE H, LAWRENCEVILLE, GA 30046-4147
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
07/14/2022
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