Fayyazi, Babak

Fayyazi, Babak is an individual health care provider with primary practice located at 145 Eagles Walk Ste A , Stockbridge GA 30281-7340. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Fayyazi, Babak can be contacted via phone (770) 914-1808.

Contact Information

Primary practice address
145 Eagles Walk Ste A Stockbridge GA 30281-7340
Phone: (770) 914-1808
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN254617 Georgia

Profile Details

NPI number 1881297992
LBN Legal business name Fayyazi, Babak
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2020
Last updated Jun 9th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881297992 NPPES
Georgia MEDICAID RN254617

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