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FARAIBA FAQEERZADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3700 MARKET ST STE E1, CLARKSTON, GA 30021-2653
(678) 383-1383
Mailing address
3700 MARKET ST STE E1, CLARKSTON, GA 30021-2653
(678) 383-1383

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/11/2019
Last updated
08/21/2024
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