Organization
MUMTAZ MUMTAZ INC
Active
Other names
Alpharetta Roswell Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARZANA B MUMTAZ M.D. (OWNER)
(770) 640-8814
Entity
Organization
Contact information
Practice address
2404 MACY DR, ROSWELL, GA 30076-6343
(770) 640-8814
(770) 640-8815
Mailing address
2404 MACY DR, ROSWELL, GA 30076-6343
(770) 640-8814
(770) 640-8815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2006
Last updated
11/23/2010
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