Organization
GREATER ATLANTA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALAHAT ALI FAROOQUI MD (CEO/PRESIDENT)
(678) 333-5396
Entity
Organization
Contact information
Practice address
301 GWINNETT DR STE D, LAWRENCEVILLE, GA 30046-5670
(678) 841-5240
(404) 759-2694
Mailing address
PO BOX 681, LAWRENCEVILLE, GA 30046-0681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/05/2021
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