Individual
FARID U QAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 FAIRVIEW PARK DR, DUBLIN, GA 31021-2550
(478) 275-1111
(478) 275-1191
Mailing address
5853 KENTUCKY DOWNS DR, MACON, GA 31210-5308
(478) 405-6010
(478) 275-1191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35737
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52450516
BCBS NUMBER
GA
01
—
GRP4933
MEDICARE GROUP ID
GA
Enumeration date
08/31/2005
Last updated
01/08/2008
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