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Individual

DR. SAMINA FAKHR QAISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7750
Mailing address
1800 PARKWAY PL SE, MARIETTA, GA 30067-8200

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
074317
GA
207Q00000X
Family Medicine Physician
MD.203870
LA
208M00000X
Hospitalist Physician
Primary
074317
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00023
LA
Enumeration date
06/10/2008
Last updated
03/24/2023
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