Organization
GA HIGHLANDS OB/GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAREED Z KADUM MD (OWNER/PRESIDENT)
(770) 334-8818
Entity
Organization
Contact information
Practice address
962 JOE FRANK HARRIS PKWY,, STE 202, CARTERSVILLE, GA 30120-2142
(770) 334-8818
(770) 334-8819
Mailing address
962 JOE FRANK HARRIS PKWY,, STE 202, CARTERSVILLE, GA 30120-2142
(770) 334-8818
(770) 334-8819
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
GA022993
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000262556D
—
GA
01
—
1760495840
NPI FAREED Z. KADUM, MD
—
Enumeration date
09/27/2011
Last updated
07/23/2013
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