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Individual

MRS. WAJIHA FAROOQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
140 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 232-1300
Mailing address
5 CRESTMONT CT SW, ROME, GA 30165-4154
(706) 844-5072

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11035
GA

Other

Enumeration date
06/09/2022
Last updated
06/17/2022
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