Individual
FAIZAH SIDDIQI MIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3186
Mailing address
505 KENSINGTON DR, GREENVILLE, NC 27858-9611
(252) 327-6755
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13867
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13867
MEDICAL LICENSE NUMBER
GA
Enumeration date
06/07/2022
Last updated
06/07/2022
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