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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

NPI Number 1801078001
LBN Legal business name HAZIM A. FARISI MD PC
Authorized official MARY FARISI - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2007
Last updated 08/17/2011 - About 15 years ago
Identifiers
GA License # 016201
GA Medicaid 00457168C
GA Other 1801078001 GROUP NPI
GA Other GRP4668 GROUP PIN
GA Other 1700938123 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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