Individual
FARIDA AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
200 E PONCE DE LEON AVE STE 110, DECATUR, GA 30030-3467
(404) 377-3436
(404) 371-0019
Mailing address
200 E PONCE DE LEON AVE STE 110, DECATUR, GA 30030-3467
(404) 377-3436
(404) 371-0019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007505
GA
Other
Enumeration date
03/06/2015
Last updated
07/25/2022
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