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Individual

ROOHI FAROOQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 259-4106
Mailing address
1527 SEVEN PINES RD APT F, SPRINGFIELD, IL 62704-6673
(248) 907-5250

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
100504
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2020
Last updated
07/11/2024
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