Individual
FARHAD M YAZDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4205 MUNDY MILL PL, SUITE 1, OAKWOOD, GA 30566-2566
(770) 287-1140
(770) 534-2700
Mailing address
PO BOX 520, OAKWOOD, GA 30566
(770) 287-1140
(770) 534-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00845446C
—
GA
Enumeration date
09/28/2006
Last updated
03/05/2014
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