Individual
SURAYYAH W. FAREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP.CNM
Contact information
Practice address
2855 CANDLER RD STE 14, DECATUR, GA 30034-1415
(404) 243-4433
(404) 243-4449
Mailing address
2855 CANDLER RD STE 14, DECATUR, GA 30034-1415
(404) 243-4433
(404) 243-4449
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN092866
GA
367A00000X
Advanced Practice Midwife
RN092866
GA
Other
Enumeration date
11/18/2010
Last updated
06/08/2013
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