Individual
AMEERA WASEEM SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1265 HIGHWAY 54 W, SUITE 201, FAYETTEVILLE, GA 30214-4548
(678) 435-3040
(678) 435-3044
Mailing address
1265 HIGHWAY 54 W, SUITE 201, FAYETTEVILLE, GA 30214-4548
(678) 435-3040
(678) 435-3044
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
69443
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134819A
—
GA
Enumeration date
04/19/2010
Last updated
02/14/2014
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