Ghannie, Fazeela
Ghannie, Fazeela is an individual health care provider with primary practice located at 2000 Riverside Parkway Suite 200, Lawrenceville GA 30044. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ghannie, Fazeela can be contacted via phone (678) 836-2109.Contact Information
Primary practice address
2000 Riverside Parkway Suite 200
Lawrenceville GA 30044
Phone: (678) 836-2109
Fax: (770) 441-0299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 013167 | Georgia |
Profile Details
| NPI number | 1679669188 |
|---|---|
| LBN Legal business name | Ghannie, Fazeela |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jan 4th, 2016 - about 9 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 | 1679669188 | NPPES |
| Georgia | Other | 013167 | DENTIST |
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