Individual
DR. HAZIM A FARISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4965 FRIENDSHIP RD, ST 103, BUFORD, GA 30518-1700
(678) 714-5692
(678) 714-5693
Mailing address
4965 FRIENDSHIP RD, ST 103, BUFORD, GA 30518-1700
(678) 714-5692
(678) 714-5693
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
016201
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00457168C
—
GA
Enumeration date
01/17/2007
Last updated
10/26/2007
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