Individual
IRTIQA FAROOQ FAZILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-3049
(404) 778-7777
Mailing address
49 JESSE HILL JR DR SE STE 491, ATLANTA, GA 30303-5807
(404) 251-8778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99985
GA
Other
Enumeration date
03/23/2021
Last updated
05/23/2024
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