Individual
SHAAZ SYED FAREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4791 S MAIN ST STE 100, ACWORTH, GA 30101-5324
(404) 251-1600
Mailing address
4791 S MAIN ST STE 100, ACWORTH, GA 30101-5324
(404) 251-1600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99133
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
06/26/2024
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