Farisi, Hazim A
Farisi, Hazim A is an individual health care provider with primary practice located at 4965 Friendship Rd St 103, Buford GA 30518-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Farisi, Hazim A can be contacted via phone (678) 714-5692.Contact Information
Primary practice address
4965 Friendship Rd St 103
Buford GA 30518-1700
Phone: (678) 714-5692
Fax: (678) 714-5693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 016201 | Georgia |
Profile Details
| NPI number | 1700938123 |
|---|---|
| LBN Legal business name | Farisi, Hazim A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Oct 26th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700938123 | NPPES |
| Georgia | MEDICAID | 00457168C |
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