Individual
FARAH MUBARAK ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11050 CRABAPPLE RD, 104 B, ROSWELL, GA 30075-2489
(770) 645-0017
(770) 645-0224
Mailing address
11050 CRABAPPLE RD, 104 B, ROSWELL, GA 30075-2489
(770) 645-0017
(770) 645-0224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005288
GA
207Q00000X
Family Medicine Physician
Primary
72373
GA
Other
Enumeration date
06/30/2011
Last updated
05/04/2016
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