Individual
DR. ERUM FAROOQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1270 FRIENDSHIP RD, BRASELTON, GA 30517-5630
(678) 207-4050
(678) 207-4051
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204681
LA
207R00000X
Internal Medicine Physician
Primary
67012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235391533
NPI
LA
05
—
2158805
—
LA
Enumeration date
06/27/2008
Last updated
03/12/2021
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