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Contact Information

SUMERA PERVAIZ
1120 15TH ST
AUGUSTA, GA30912-0004
 Phone: 405-496-0622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUMERA PERVAIZ · (Female)

NPI Number 1619382009
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2014
Last updated 06/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 6794
Hospital affiliation(s)
  • EMORY JOHNS CREEK HOSPITAL - (Acute Care)
    6325 HOSPITAL PARKWAY
    JOHNS CREEK, GA 30097
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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