National Provider Identifier Database

HAZIM A FARISI MD PC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


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
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for HAZIM A. FARISI MD PC

NPI Number 1801078001
Legal business name
LBN
HAZIM A. FARISI MD PC
Authorized official MARY FARISI - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/29/2007
Last updated 08/17/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 016201
  • GA Medicaid: 00457168C
  • GA Other: 1801078001 GROUP NPI
  • GA Other: GRP4668 GROUP PIN
  • GA Other: 1700938123 INDIVIDUAL NPI

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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