Friendship Clinic

LBN: Hazim A. Farisi Md Pc
Friendship Clinic is an health care organization with primary practice located at 4965 Friendship Rd Suite 103, Buford GA 30518-1700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Hazim A. Farisi Md Pc can be contacted via phone (678) 714-5692, or through Farisi, Mary via phone (678) 714-5692.

Contact Information

Primary practice address
4965 Friendship Rd Suite 103 Buford GA 30518-1700
Fax: (678) 714-5693
Website:
Authorized official contact:
Name: Farisi, Mary

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 016201 Georgia

Profile Details

NPI number 1801078001
LBN Legal business name Hazim A. Farisi Md Pc
DBA Doing business as Friendship Clinic
Authorized official Farisi, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2007
Last updated Aug 17th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801078001 NPPES
Georgia Other 1700938123 INDIVIDUAL NPI
Georgia MEDICAID 00457168C INDIVIDUAL NPI
Georgia Other GRP4668 INDIVIDUAL NPI
Georgia Other 1801078001 INDIVIDUAL NPI

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