Organization
TARIQ JAVED, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE DEAN (OFFICE MANAGER)
(770) 422-0444
Entity
Organization
Contact information
Practice address
631 CAMPBELL HILL ST NW, SUITE 100, MARIETTA, GA 30060-1301
(770) 422-0444
(770) 422-4412
Mailing address
631 CAMPBELL HILL ST NW, SUITE 100, MARIETTA, GA 30060-1301
(770) 422-0444
(770) 422-4412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
003649
GA
174400000X
Specialist
Primary
34376
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00349499A
—
GA
05
—
00470148B
—
GA
05
—
100001357A
—
GA
Enumeration date
01/25/2007
Last updated
02/08/2010
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