Individual
DR. FALAHAT ALI FAROOQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 HOG MOUNTAIN RD BLDG 200-103, WATKINSVILLE, GA 30677-1950
(678) 841-5240
Mailing address
PO BOX 681, LAWRENCEVILLE, GA 30046-0681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
79473
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
79473
GA
Other
Enumeration date
04/12/2013
Last updated
01/29/2020
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