Individual
DR. FAREEM JIVRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3393 PEACHTREE RD NE STE B128, ATLANTA, GA 30326-1197
(857) 269-6286
Mailing address
3394 BRYERSTONE CIR SE, SMYRNA, GA 30080-4810
(857) 269-6286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003170
GA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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