Individual
DR. ALEXANDRIA BAHAN FARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2695
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2695
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6874
GA
Other
Enumeration date
06/24/2014
Last updated
11/06/2014
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