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Contact Information

HAZIM A. FARISI MD PC
4965 FRIENDSHIP RD
SUITE 103
BUFORD, GA30518-1700
 Phone: 678-714-5692
 Fax: 678-714-5693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for HAZIM A FARISI MD PC · (Female)

NPI # 1801078001
Status Active
Credentials
Entity Individual
Enumeration date 11/29/2007
Last updated 08/17/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 016201
  • GA Medicaid 00457168C
  • GA Other 1801078001 GROUP NPI
  • GA Other GRP4668 GROUP PIN
  • GA Other 1700938123 INDIVIDUAL NPI
Hospital affiliation(s) Not Available
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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