Individual
SALMAN SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 TANNER DR, BREMEN, GA 30110-2537
(770) 836-9445
(770) 838-8808
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
069960
GA
Other
Enumeration date
07/01/2008
Last updated
03/17/2018
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