Individual
JAVED H. FAZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1860 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 225-9001
(478) 225-9167
Mailing address
1860 WATSON BLVD, WARNER ROBINS, GA 31093-3612
(478) 225-9001
(478) 225-9167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057457
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138340105E
—
GA
Enumeration date
06/13/2006
Last updated
12/10/2025
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