Individual
MR. MAZEN SHAFIQ FAKHOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1120 15TH ST, ORTHOPAEDIC CLINIC, AUGUSTA, GA 30912-0004
(706) 721-2847
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005712
GA
363AS0400X
Surgical Physician Assistant
005712
GA
Other
Enumeration date
12/02/2009
Last updated
01/18/2024
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